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Advanced CHAIN OF CUSTOD RECORD <br /> GeoEnv><ronmental, Inc. Date 9-�yd.3 Page —L— of <br /> 837 Shaw Road -Stockton,California-95215- (209) 467-1006- Fax (209)467.1118 0 9 , 1 �`� <br /> Client6 Proect Ma ag r <br /> ✓� ma u S d Tests Required <br /> Phone Number <br /> Samplers (Signature) db��� Ov Invoice <br /> Project Name ,� AGE ,�" <br /> CCU4 d V- /4, r Client ❑ <br /> Sample Location Date Time Sample Type Sajid No of v <br /> Number Description Water <br /> Comp Grab Air Cortts Notes <br /> WS 16yr <br /> 14411". it M.tj'7 Go 30 J <br /> a gra <br /> wg n raw 0,47 <br /> PIA LAC1'� 1L2 <br /> e in is e y nature} ecerve y ignature patelTime <br /> 0. <br /> Relinquished by (Signature) Received by (Signature) Date(Tima <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) � �. Date/Tima <br /> Dispatched by (Signature) Date/Ttme Received for Laboratory by Dateffirn <br /> C 0 <br /> Method of Shipment Labor ry14 Ve <br /> Special Instructions , ,t��� ��U I hereby utharize the performance of the above Indicated work <br />