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t Advanced <br /> CHAIN OF CUSTODOECORD <br /> GeoEnvironmental, Inc <br /> Date -ZO-u Page 2- of <br /> 897 Shaw Road - Stockton, California-95215- (209) 467-1006 - Fax (209)467-1118 �.r f [ <br /> Client Project Manager Tests Required <br /> Phone Number <br /> �o". a <br /> Samplers (Signature) �� Invoice <br /> Project Name t� �:�,U� � - !�, <br /> AGE <br /> o Client ❑ <br /> Sample Type <br /> Sample Location Date Time Water Solid No of '3'� Notes <br /> Number Description Air Conts �i(N <br /> comp Grab <br /> ,/0�© x <br /> so « SDl /t+Z S <br /> 6L- 5 ti 5s` /t)3 D Gt <br /> $ Gc tt Cao' /1)50 <br /> ej l 61 91 COS+ 1 /DI IYW L� <br /> 3l - <br /> '70 ►f ►e+ 1 // 00 /x x X <br /> ?m 1/200 7 X = <br /> eh is a yA(Sig natur Receivedy ignature Data/Time <br /> elinquished by (Sig"(e)re) Received by (Signature) �r Date rime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DatelTime <br /> Dispatched by (Signature) Date/Time Received for Laboratory b Date/Trme <br /> Method of Shipment La story Name <br /> C../1�-Q IrVL na <br /> CA <br /> Specrat inslfuchons I hereby aulhorrze the performance of the above indicated work <br />