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Advanced CHAIN OF CUSTODY RECORD <br /> -= GeoEnvironmental, Inc. Date Page f of-4— <br /> of Nnr7henr Cuhfor"ta <br /> u7 <br /> f8M West March Lane Suite A-Stockton California-95207-(209)9564264-Fax(209)9564700 lep33 9 ' -4 <br /> J <br /> ClierdProlect Manager 6 <br /> S' f! Lj1/n Tests Required Ul <br /> Phone Number <br /> Samplers (Signature) Invoice* <br /> Project Name `,�1 Q� � ` AGE El 3 <br /> Client ❑ <br /> v <br /> Sample Location Sample Type No of m <br /> Number Description Date Time Water Air Solid Cvrns f F--Notes - <br /> Comp Crab r n <br /> P/ KZ ip , ' f 71282 0 <br /> r w <br /> 71283 <br /> Pq 712 8 4 m <br /> P, .20 71285 � � A <br /> � ii <br /> P! "�a �jo 7128671267 <br /> _ t <br /> i <br /> Fel-(6-' <br /> r � <br /> -PI_a! 2S l 71288 = <br /> -Rel"1n�u y gnaiure r Y e r V"LEI nwo <br /> '14 <br /> Relinquished by (Signature) Rceived by (Slg lure) Date/time <br /> Relinquished (Signature) Received by Mobile Laboratory for held analysis (Signature) Date/time <br /> Dispatched by (Signature) Dateftime Retelved for Laboratory by Date/Tlme <br /> Method hipment laboratory Na e / <br /> ' IAd5& G �e� MG L7 <br /> Special Instructions IQ I hereby authorize 11he performance of the above indicated work T <br /> • <br /> ytNIJ tll7� �� , <br /> GOOD CONDm0H APRI)IME <br /> NEJM]SPAr,F AKFur e►r+urur~ <br />