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CHAIN F CUSTODOECORD <br /> Advanced j / <br /> GeoEnvironmental, Inc. Dace ( Page o� <br /> 837 Shaw Road-Stockton, California-95215-(249)467-1006- Fax (209)467-1118 <br /> Client <br /> �. � ��v' P ler Tests Required <br /> Number <br /> Samplers {Si u } Invoice: <br /> Project Name AGE J!;V <br /> Client p <br /> � <br /> Sample Location No of N <br /> Number Description Date Time VllatSample Type er Air Solid Conts Nares <br /> i .J[F f� Comp (crab <br /> µ � <br /> 1 qz�szc <br /> lU <br /> rnquis a 0 bi Sig t Received bY ignawre �t imee <br /> ehnquished by (Sig tura) Received by (signature) Date/Time <br /> Rehnquished by (Signature) Received by Mobile laboratory for field analysis (SignatureTA: Date/Time <br /> Dispatched by (Signature) Datefrime awe or Laboratory Date/Ti <br /> ` e <br /> .-fru <br /> • <br /> —.. <br /> bethod of Shipment ry t _ l La Nelne�� , <br /> Special Instruchons Cr f� MF <br /> K I hereby authorize the rmance of the above Indicated work <br /> GG 18zt S t-kav Spe <br />