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CHAIN OF CUSTOD ECORDI <br /> Advanced �-� <br /> GeoEnvironmental Inc. Date Pagt3 of <br /> 837 Shaw Road - Stockton, California- 95215- (209) 467-1006 Fax (209)467 1118 <br /> Client Proje <br /> ct Man er Tests Required <br /> P Number <br /> i <br /> Sam rs ( g ature) Invoice <br /> AGE ;?/ <br /> Project Name - Client ❑ <br /> LVt <br /> Sample Type 1 <br /> Ulm <br /> Sample Location Date Time Water Solid No of Notes <br /> Number Description comp Grab Air Conts <br /> its Z <br /> kw r p <br /> (mow Z r <br /> x 3 <br /> e-A&Ad �j 2 5 r <br /> FT- �I 0 telTtme <br /> e in rs a 4(sigature) stews y ignature <br /> Relinquishe by (Signatu Received by (Signature) a crime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Trme <br /> Dispatched by (Signature) DatelTime Recewed for Laboratory bQ DatelTime <br /> ICUt�31_03 r, <br /> Lab rat Nam <br /> Method of Shipment /, L <br /> �7 <br /> 1 hereby auth a the formance of the above indicated work <br /> Special Instructions <br />