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�■■. ■■■f�,tl"■y Z,500 <br /> ( Advanced <br /> CHAIN OF CUSTODARECORD <br /> GeoEnvironmental, Inc. Date Page S of <br /> 837 Shaw Road -Stockton, California- 95215-(209)467-100$- Fax (209)467-1118 <br /> Client �AJ Project Ma����lTests Required <br /> Phone Number 1�f <br /> 4o /90, <br /> Sam p rs (Signature) Invoice <br /> A <br /> Project Name r� ' J AGE <br /> r I ► (J�C�Ti ®,.� <br /> Client ❑ <br /> Sample Location Sample Type No 01 , <br /> Number Description Date Time Water Solid ►v Notes <br /> Comp Grab Air CiontS <br /> o bra \/ W IG ti l3 <br /> V W a o$.Ue"3 A 1237 <br /> quis e y i nature Received y pnature <br /> Date/Time <br /> A7'3 /&V <br /> �nquashed by (Signature) Received by (Signature) Oats/Time <br /> Relinquished by tSignature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) Date/Time Received for Laboratory by Date/Time <br /> Method of Shipment Lab ory m <br /> 71-1 <br /> k <br /> Special Instructions �y �� I hereby Ihorize the performance of the above indicated work <br />