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Advanced CHAIN OF CUSTODY RECORD <br /> —;:- GeoEnvironmental, Inc. Date -I-)'I -qq„ Page of 2. <br /> ' of Northern California <br /> 1803 West March Lane, Suite A-Stockton,California-95207-(209)956-0264-Pax(209)956.0700 7y3/7 02 <br /> ClientProject Manager <br /> Nv r�'wtr�y h '�` S el h�5 S Tests Required <br /> K-t V I VI N"Al b bim ea <br /> Phone Number <br /> (;-oa) 15'6­06H <br /> Samplers (Sig/nature) Invoice <br /> Protect Name �q5y L4J)V1'0 }��— Vary �C[i"�� ��� �� AGE <br /> a Client <br /> Sample Location Sample Type <br /> Solid <br /> Date Time No of Notes <br /> Number Description Water Air Conts, <br /> Comp Grab j---- — <br /> GP�'� 5459d <br /> Relinquished <br /> by ( ignalure ecerve b LDate/Time <br /> Rehnquis ( ignalure) ec y (Signature) _ , D Iert me <br /> /c;_ /S-, <br /> ehn urshe b (Signature) cery by Mobile Laboratory for field analysis (Signature) ale/Trme <br /> Dispatched by (Signature) Dale/Time Received for Laboratory by Daleffime <br /> I <br /> Method of Shipment Laboratory Name <br /> bill <br /> Special Instructions I hereby authorize the performance of the above indicated work <br />