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• T <br /> t <br /> Advanced CHAIN PF CUSTODY RECORD <br /> GeoEnvironmental, Inc. Date a page - of <br /> 837 Shaw Road- Stockton, California- 95215 -(209)467-1006 - Fax (208)467-1118 <br /> Client prole Manager Tests Required <br /> pone Number <br /> 190 <br /> am ers (Signature) X Invoice- <br /> Project NameMa�7t <br /> AGE 2Client ❑ <br /> Sample Type <br /> Sample Location Date Time Water Solid No of Nnt4c <br /> Number Description comp crab Air Corns <br /> 83229 <br /> 83239 <br /> a k 83231 <br /> _a83232 <br /> ilccll� o .-a k 83233 , <br /> 83234 <br /> HA UJ ,2 ?-.a 83235 <br /> e inq e y ignature e e ve y (Signature) <br /> L-SY�i I L <br /> Relinquished by Received by (Signature) Da efTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Dateffime <br /> ` 4 � <br /> Dispatched by (Signature) Date/Time Recgtvetl r Laboratory b 1 ime <br /> 6 arG <br /> Method at Shipment Laboratory 14ame <br /> i <br /> e r <br /> Speciat insttueUons `''�IM ` I hereby ou rixe the a rrnance of the above Indicated work <br /> 0000 CCNCITION--n. " �' <br />