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I 1 1 .I I ._1 1 �_1 .1 .1 1 1 1 <br /> Advanced CHAIN OF CUSTODY RECQRD, <br /> GeoEnvironmental, Inc. <br /> Date Page 3 Page 1 0f F} <br /> 837 Shaw Road -Stockton, California -95215- (209) 467-1006 - Fax'(209) 467-1118 <br /> Client + �} Project Manager <br /> v c�"j �o ks on Tests Required <br /> Phone Number / <br /> c79 - 4(-,p7 100e <br /> Samplers: (Signature) 5 Invoice: <br /> Project Name AGE J� <br /> FOv t"1 tr c0 r�i$ ��r'L t'u � .�! �141 Client ❑ <br /> Sample Location Date Time <br /> Number Description Water T /fir Solid ype °�t51 'y U Notes <br /> Comp. Grab. <br /> bWJ Z03ac-1 3-11-01 ROSO <br /> L <br /> 'mwl1� © �ttoa 1yy <br /> gra 2 ./03IZO 13iZ <br /> vmwl�/0 1Z_Z <br /> A e s4- <br /> hodr nature ecerve _ <br /> //y: 9 i y: rgnat a Date//Time <br /> ,off OIA iJl1Cl'Af19 4 �-r 2-�3 / t 7 L^ <br /> mquished by: (Signature) K� Dalefrime <br /> Relinquished by: (Signature1aff "A&A"Ooralory for field analysts: (Signature) Date/Time <br /> _:,E.il1.tD.i%)1ife�'T�Si iDf Lt's-s <br /> Dispatched by: (Signature) Date/Time Rec a or Laborat b <br /> e_L�Fime 8,.S-0 <br /> Method of Shipment: ` t Labord&y Name t r <br /> S ecial nstructron t hereby authorize the performance of the above Indicated work, <br />