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Advanced CHAIN PF CUSTODY RECORD <br /> GeoEnvironmental, Inc. Date Page 2--0 <br /> 837 Shaw Road-Stockton,California-95215-(209)467-1006- Fax (209)467-1118 <br /> Cheat ct manr � ,af.. Tests Required <br /> P e Number <br /> Sa rs nature) / ) Invoice <br /> Project NamAGE <br /> �-- / Client ❑Sample Location Sample Type No of <br /> Date Time Water Solid Notes <br /> Number Description L' 4 <br /> Comp Grab Air Corns �� <br /> -3 c <br /> Alk) b 0"44-6y-0-1-0-1 o <br /> -94to 7A <br /> O-L- <br /> 112-a z <br /> W �� 2--e -oz 3 <br /> )40 7 <br /> e rnqui a gna ure ved bv gnature) atelTlmef <br /> 2AllZ.e L/1 <br /> Relinquished by Signature) V Received by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Datelrime <br /> Dispatched by (Signature) Date/Time Rec r Laboratory y Date/Time <br /> /A- i! 0'— c C rT' <br /> Method of Shipment // Laborato ma <br /> ul <br /> Special Instructions I hereby auth ize the pe rmance of the above Indicated work ' <br /> I <br />