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Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. 2906T Date Page " <br /> 837 Shaw Road-Stockton,California 95215- (209)487 1006-Fax(209)487 1118 <br /> Project Manager <br /> Client Project Required <br /> ;/Vl tie <br /> Phone Number <br /> Samplers (Signature) I11VOiCe <br /> 44 AGE <br /> Project Name #� L4 11L Glen ❑ <br /> Sample Type <br /> Sample Location <br /> Date Time Water Solid No of ��, <br /> Number Description Comp Arab Air ComS <br /> � //l <br /> IOU <br /> Jj` X <br /> iltZy\zi `air� t t F l 1 <br /> 1xi <br /> S Nnple c&S%LTttp A'T i ` <br /> �� 1 �►t���-ie QEI� fir ��-� u i Ll X <br /> f <br /> SAMpia Cbdo.Te4 r' -OI t X <br /> a,T -Ii tit} ate ( 10 1 <br /> _ � f <br /> 3 <br /> to <br /> M k <br /> a nWi— <br /> y rgnatuie ce ve y gnSlute D;ISM <br /> Relingrr,ahe by i nature) Received by (signature Qats/Tlme <br /> ►OAS 0&G METAIS OThIER <br /> elinqu shad by (S ynature) Raceiv b -{Signature) OatORln"0 <br /> �! PRIATE <br /> PAM MON 11111111 Cllapaiehed by {Signature] COld;r�I� Aeeelvad for Laboratory by, �" gale(r ms <br /> #jV%J PACE ABSENT G `Vtn <br /> Laboratory <br /> Method of 9hipinant Fra J <br /> I hereby aulharixe the petlotmence of the abova Indicated work <br /> 6pacia!Instructions <br />