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• � 4 i <br /> 3 � <br /> Advanced CHAIN OF CUSTODY RECORD <br /> - _- GeoEnvironment.al, Inc. Z�6s--2 ` - Date �' �' i `" page - <br /> 837 Shaw Road-Stooktonr Calttornia-85215-(209)457-1008-Fax 5209)467-1118 <br /> Client Project Manager <br /> ` Tests Required <br /> Phone Number <br /> Samplers (Signature) 4 Invoice <br /> Prole <br /> Name �� }� s� q, AGt: <br /> Sample Location Sample Type , a` ��� � <br /> i Date Time Wates Solid No of ,r <br /> Number <br /> Description <br /> r <br /> Gomp 01ah �11f COrItS <br /> 0,11 <br /> AT 4S <br /> /1J1V� (a <br /> P-r 14 F 44} <br /> s r e <br /> rA} lAir�l <br /> VaPrflq Co11ec1[p C `r <br /> {/v A I ae-� $TG <br /> s inqu y Ign to et n v y gna urs Mete/rime <br /> RaifraquiahaQ by (3 natured [ {p���ta} <br /> ri 5 lel Nt Daterflme <br /> Reiinq azure} 4 ►story for liald analyala (S+gnabure) Uat.lTlme <br /> Gi OD CONDITION � APPPOP�IATE <br /> i DltpsiTi��UC7f�tl1L rSUE�F CONT AINI RS DOW/Time ed for Labaretory by _X <br /> /f Dat Ima <br /> J MOM of Shipment PIBIP <br /> I � <br /> � }Iidi <br /> spec1al lntttumlon, I hereby au arize We parforniasoe a1 the above Indicated work <br /> I0A <br />