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tf• MONSOON V11111111111111F ewe �. <br /> m <br /> In5 <br /> rh <br /> ri Advanced CHAIN OF CUSTODY RECORD <br /> ©arta Z Page of� <br /> _GeoEnvironmental, Inc <br /> 837 Shaw Road- Stockton California- 95215 (209) 487-1006 Fax(249)467-1118 <br /> r3 <br /> I w <br /> Client ' r Protect Hager Pests Requved <br /> o r r P e Number h <br /> Oda � <br /> P ers (Signature) % Invoice, <br /> AGE � r r <br /> Protect !Name �' t _ Client EJn <br /> S f t red` 'S �f' ._ <br /> Sample Location Date Time WaterSample Type Solid No of ` �' / r; / Notes <br /> Number Descriptioncame Grab Air Cants <br /> 3 90820 <br /> 90621 <br /> m <br /> I y <br /> ' -n <br /> N <br /> - I77 <br /> Tnt't <br /> 1—,..v. <br /> e in i ed rgn tui ) ecaHe"11", <br /> DatefTime1rd, _ 7v6 8ReUn uishe b �ignatve) <br /> R ign (ure) J f u Uate(rimp N <br /> rr <br /> Relinquished by RKeuvla by Mobile Laboratory for livid analysis (Signature) Data/Ttme <br /> Despatched by {Signature) DalaiTinte Rectrived for laboratory by bale/Tirna <br /> Method of Shipment <br /> Labor aiory ame f <br /> r/ cn <br /> U ro <br /> Zee- <br /> Spcckal instructions I hereby authorize th ariormance of the above indicated work N <br /> P <br /> r <br />