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J <br /> l <br /> Advanced CHAIN OF CUSTODY RECORD <br /> __-- GeoEnvironmental, Inc. Date 30 kY Page of <br /> 837 Shaw Road-Stockton, California-95215- (209)467-1006-Fax (209)467-1118 tf <br /> Clientcnmcd Project Manager N� <br /> L, PCIVl R utr <br /> Rhone Number <br /> Samplers (Signature) X Invoice <br /> Project Name '' <br /> AGE <br /> Covv4tt &v— <br /> bg� Client ❑ <br /> Sample Location <br /> Sample Type <br /> Date Time Water Solid NO of N Notes <br /> Comp Grab <br /> Number Description Date <br /> Conts <br /> kw Sg/ I ICC6l / / <br /> \\A 105q / l <br /> !Aw ION <br /> �Aw 103 130D <br /> inqu�is a ig azure Received y 19nature DatslT s <br /> , <br /> Relinquished by (Signature) Received by (Signature) Detefrime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) STADatefrime <br /> Dispatched by (Signature) Date/Tirne Received for Laboratory by li DatelTime <br /> Method of Shipment r. Laborato ame } <br /> iL �,•�,, Il <br /> SpooW%nstrucuonz ` i hereby authorize the performance of the above Indicated work <br />