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t Advanced <br /> CHAIN OF CUSTODMCOAD <br /> --_= GeoEnvironmental, Inc DatePage 3 of <br /> 837 Shaw Road- Stockton, California-95215- (209) 467-1006- Fax (209)467-1118 V <br /> Project Mapager <br /> Client ,Q CLAj��Nb y SJ-e—I C[,-�_ Tests Required <br /> Phone Number I� <br /> D4 -40 -toy �� 6 <br /> Samplers (Signature) A-V=D Invoice <br /> Project Name S S A n X41 f__ 7A" AGE )gClient ❑ <br /> Sample Location Sample Type Date Time Water Solid No of �. Notes <br /> Number Description Comp Grab Air Conts <br /> I -6t2 <br /> ffiw-Z- (5 4505 X u400) <br /> 0-L-9b Oho �t o LD <br /> A\kf-Z- �s <br /> A\�Z--1o 10 xX <br /> Au Z-*�5 35 0517 <br /> og I 4AOL'D <br /> e rnquis e y n e) ecewe y ignature oatelrI <br /> t <br /> Z}-(15 � <br /> Rehnquishe y (Signature) Received by (Signature) /� Date tme <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) S -,#}I— Datel;ime <br /> Dispatched by (Signature) Date[Ttme Received for Labors by DatslTi e <br /> -D <br /> Method of Shipment loiitory Name <br /> Special Instructions I hereby authorrz a performance of the above indicated work <br /> ter- <br />