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0 <br /> CHAIN OF CUSTOD ECORD , <br /> Advanced Date d Pageit <br /> _ <br /> --— GeoEnvironmental, Inc <br /> 837 Shaw Road Stocklon, California-95215 - (209)467-1006 - Fax (209)467-1118 <br /> !Phone <br /> Manager Tests Required <br /> Client � <br /> Number <br /> C1 <br /> Samp ers (5f nature) Invoice <br /> AGE 0' <br /> Project Name Client ❑ <br /> V~ � <br /> Sample Type <br /> Sample Location Date Time Water Solid No of fllntc�a <br /> Number Description Comp Grab Air Conts <br /> 83236 <br /> 83237 � <br /> 83238 <br /> C A-- <br /> I <br /> D femme <br /> e i q is ed rgn tura) <br /> Received y (Signature) <br /> Date/Time <br /> Reh quished by (Signature) Received by (Signature) <br /> DatefTime <br /> Relinquished by {Signature) Received by Mobile Laboratory for field analysis (Signature) <br /> DatelTimeved for Laboralor <br /> QQ <br /> te(rime <br /> Dispatched by (Signature) <br /> Racal <br /> Laboratory Name <br /> Method of Shipment <br /> el <br /> h Tk� 4 hereby auth tza thep rformance of the above indicated work <br /> , ,. <br /> GOOD OONDITION, 0*1_07 <br /> r fit r}� <br />