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Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. ��qq_ _ Date / Page of 3 <br /> 837 Shaw Road-Stockton, California -95215- (209) 467-1006-Fax (269)467-1148 <br /> Client / �. / r Protect Ma er <br /> e,3 4.11.v d ,/S6-';�.J Tests Required <br /> Phone Number <br /> Sam I s (Signature) Invoice <br /> Project Name o� AGE.K <br /> v Client C]� <br /> SampleLocation Sample Type No of '� <br /> Number Description Date Time WaterAar Solid Conts �� Lj ` Notes <br /> Comp Grab <br /> Oq 63 lb a /114 14--13 t3j id io3 XA X, Y lC <br /> 5 <br /> 'All 6-3 I v 3 d 3 lde3 /5,-.3 r_ <br /> ItIV& �3 F 67 �3 /y 3� yC x 3( X <br /> W <br /> M63Y8'e3ZA <br /> k o.3 Ir-1 M wNV <br /> /.J lH w f �3/ 03 /ydl� >< >t <br /> Fuished <br /> y ignature Receivedy (Signature) I)ate/Time <br /> 700 <br /> by (Signatures Recei d by (Signature) DatelTime <br /> Relingws6 i lure) e v <br /> AX101 Red Mobile Laborato for field analyaia (Signature) DatelTime <br /> C/00b 00 1Y'i0N PRIAVE <br /> IMADSPAC ABS--la.d <br /> E)ispatcF� � � Datefrime Re ry r Laborato telTime <br /> l�Q3 g I <br /> Method of Shipment r Labora Name <br /> C <br /> &..0- <br /> STecia)Instructs I hereby thorize the perfor ante of the above indicated work <br /> 4dler I441/t56'_:244 1°ll e,�� <br />