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1HAIN <br />Received by: (Slanature) <br />Dat®lTime <br />N <br />nqutsh®d y; (Signature) <br />OF CUSTODY RECORD <br />Received by Mobits Laboratory for Reid ansiVsie, (Signalure) <br />- <br />Advanced <br />elinquisha by: Signawre <br />Date'l'Y/-03 page Z <br />of L <br />D <br />-; <br />GeoEnvironmental, Inc. <br />oateiTlme ace Ya roto y; <br />Valeffirne <br />2z <br />LO <br />O <br />537 Shaw Road - Stockton, California - 95215 - (209) 487-IODO - Fax (209) 447-1118 <br />� <br />Method of Shipment: <br />CAI <br />N <br />Laboratory Name <br />Ca I T-er- <br />p <br />m <br />pv$c c <br />N <br />Client �, <br />"don <br />Special Instructions: <br />Project Manager <br />%r <br />T RegtAred <br />t9 <br />W <br />Phone Number <br />m <br />m <br />Sam - (Signature) <br />�� y <br />Invoice: <br />UJ <br />AGE <br />Project Name <br />i�►tir,/ i Kf1J <br />TC'Q�t <br />Client <br />Sample <br />e. <br />Location <br />Date Time <br />Date <br />YPa Solid <br />Water <br />No of J Notes <br />ip <br />Number <br />Description <br />Comp. Gra®. Air <br />Conts. <br />TKIA01 J J03S®c,iG <br />�1e <br />iZ.33 <br />3 <br />/ <br />3.l C.n,o <br />f <br />rK16/01W03.�C. <br />-ice <br />aZZa <br />_ `77 <br />71 <br />Received by: (Slanature) <br />Dat®lTime <br />N <br />nqutsh®d y; (Signature) <br />Received by Mobits Laboratory for Reid ansiVsie, (Signalure) <br />OataJTime <br />N <br />N <br />elinquisha by: Signawre <br />N <br />Dispatched by (819nature) <br />oateiTlme ace Ya roto y; <br />Valeffirne <br />2z <br />LO <br />O <br />� <br />Method of Shipment: <br />CAI <br />Laboratory Name <br />Ca I T-er- <br />p <br />m <br />pv$c c <br />Ln <br />Special Instructions: <br />I hereby au oriae the patlarmance el the above Indicated work. <br />t9 <br />Ut <br />