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rz , CHAIN OF CUSTOD ECORD <br /> t Advanced <br /> GeoEnvironmental Inc. Date Page of 2� <br /> 837 Shaw Road-Stockton, California-95215-(209)467-1006- Fax (208)467-1118 <br /> Client Project Manager Tests Regallred <br /> Phone Number p <br /> Qbq - 917— 1 <br /> Samplers (Signature) invoice <br /> AGE ❑ <br /> Project Name *41,5 Client�cxrnet- C&A�e�'� Coc � <br /> SampE Ype t. <br /> Sample Location Date Time Water Sojld No of Notes <br /> Number Description Comp Grab Air c°nts <br /> �. � 74836 ' <br /> 3 �� �s�, g.� .�� ►z3� X � X X � � ' <br /> Mw� x 74837 <br /> 74838 <br /> 10A $G �E�AI.S J <br /> ICRP+� <br /> /PRISERVATIONDaterr�ma <br /> MER <br /> -Relmquis e y Signature) U ND�T101 eceive <br /> y Is l l� <br /> SirrTS tri � D <br /> r,n <br /> a <br /> S le/Time <br /> R gwshed by (Signature) Received by (Signature) <br /> DatetTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) <br /> Dispatched by (Signature) -Date/Time Recervad for Labo tato <br /> Date(Time <br /> Laboratory Name <br /> Melhod of Shipment CA� <br /> I hereby suthonze the performance of the above indicated work <br /> Special Instructions <br />