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( <br /> • CHAIN F CUSTOD RECORD <br /> Advanced <br /> GeoEnvironmental, Inc. Date Page of <br /> 837 Shaw Road- Stockton,California-95215-(209)467-1006- Fax (269) 467-1118 <br /> er <br /> Client � � ProlV` ant Tests Required11 7 <br /> P 1 ne umber <br /> 7 0 <br /> a p ers ( ignature) lrwoice <br /> Project Name <br /> AGE Ver' <br /> rt, � Client C3-el sta <br /> Sample Location Sample Type Solid No of <br /> Date Time er ` Notes <br /> Wat <br /> Number Description Comp Grab Air COnts <br /> 0�- <br /> e mqui y ign ur ace ve y TS 1-9--B—lu—reF D e rme <br /> � l4 3e) <br /> ReiinquAshed ti (Signature) Received by (Signature) I batJffrme <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DatelTime <br /> Dispatched by (Signature) Dato/Time Received for Laboratory by Date(Time <br /> J-V-D <br /> Method of Shipment Laborator ams <br /> i <br /> 1 <br /> Special instruclions V i hereby authorize th erformance of the above indicated work <br />