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( Advanced CHAIN OF QUSTODY RECORD <br /> GeoEnvironmental, Inc. D305�aG`7 Date 31b3 Page <br /> 837 Shaw road - Stockton, California- 95215- (209)467-4006- Fax (209)467-1118 <br /> Client' Protect Mananar <br /> c Tests Required <br /> P ne Number <br />� Sant rs (S or�ature) Invoice <br /> Protect Name /J � � �' AGE <br /> Client ❑ <br /> Sam le T e r <br /> Sample Location P YP No of <br /> Number Description Date Time Water Air Solid Conts Notes <br /> camp (arab <br /> p � <br /> 1t <br /> *00IDD24 <br /> � MWWT <br /> 4 1 : API SO <br /> It <br /> Hell q e ( on ure ece ve y igna�ure patelTim <br /> Relinquished by (Signature) Received by (Signature) Oate—/Timeirrie <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DatelTirne <br /> Dispatched by (signature) ilatelTime Receive Laboratory by atelTime <br /> / Q312S- <br /> Method of Shipment Laboratory a e L7tLd <br /> "til <br /> Special inslructic � �� s f r� �D i hereby a thor a the <br /> Y p mance of the above indicated work <br />