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.� as n■ttttt� a■tiw wl■w iii �� � � � j� � � _ <br /> Advanced CHAIN OF CUSTODY RECORD' <br /> GeoEnvironrnentai, Inc. <br /> Date~��' Page 2� of--7-- <br /> 11 <br /> 4005 North Wilson Way Stockton,California 95205-(209)467-1006 Fax(209)467-1118 <br /> Client Project nagpr <br /> Tests Required <br /> P ane umber <br /> Sam s (Signature) Invoice <br /> Project Name �, /J r AGE <br /> r�V Client ❑ <br /> Sample Location o <br /> Sample Type Nof k' ' <br /> Date Time Water Solid � Nates <br /> Number Description q(f Coats <br /> Comp Grab i <br /> 33514 <br /> "y 33515 <br /> 1- <br /> '03-17 6 !, 33516 <br /> rc�►tli�t� Cr-f-� <br /> Re in is a y { i nature ved by (signature i Date(Time <br /> VLA l4 .4.2 <br /> Relinquished by ( igna re) Received by (Signature) Date[Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analyals (Signature) S,_ Date[Time <br /> s I <br /> Diapatchad by (Signature) DatatTime Roca IoLLaborator b r� DatatTime <br /> � E <br /> Moth�d of Shipment \ fLaboratory Name AA <br /> A' __ Gc�� �. � \ r—�'�`[51L., <br /> Spectat Insttuctio s VOR$ G METAls OTII,-R i hereby authorize the performance of the above indicated work <br /> GOOD CONDITION APPROP'n'IATP )ren <br /> HEAD SPA �,� <br />