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( Advanced CHAIN OF CUSTODY RECORD <br /> " GeoEnvironmental, Inc. Date 21,71.0 Page 3 of <br /> 837 Shaw Road-Stockton, California- 95215-(209)467-1006- Fax (209)467-1118 <br /> Ghent Project Nd ger <br /> Tests Required <br /> Ise <br /> Phone N mber <br /> ,9017 '!� 7' <br /> Sam lers, (signature) Invoice <br /> Project Name ti AGI= e� <br /> �. Client ❑ <br /> Sample Location Sample Type <br /> Number Description Date Time water Air Solid Con sNo f a Nates <br /> Comp Grab <br /> —is e ( ignature) ecewe y Ignature Date/Time <br /> ,�XA-,e) 3-16-03/ 1700 <br /> els quashed by (Signature) Received by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysts (Signature) Date(Time <br /> Despatched by {Signature} Date/Time Rec a��rato J /Time i <br /> Method of Shipment Labs tory ami /J <br /> Special Instructions I here b au ortze the p9liormance of the above indicated work <br />