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t Advanced 0 L� CHAIN OF CUSTODYMECORD <br /> GeoEnvironmental Inc. � pate2 1v Page -:S) of�_ <br /> 837 Shaw Road - Stockton, California- 95215- (209) 467-1006 - Fax (209) 467-1118 <br /> Client f l Project Manager Tests Required <br /> Le I <br /> P one NL4mter <br /> Samplers (Signature) V Invoice <br /> AGE <br /> Project Name � CClient it Ir � � � ❑ <br /> Sample Location Sample Type Solid No of Notes <br /> Number Description Date Time Water Air Conts <br /> Comp Grab <br /> AW 231 ,4- 3 <br /> AW-7 t?/ 1 mw7a 1 1-7-z-Y 1 1 Ax V Y1 <br />,AU`7C kAW -7(— <br /> Vt -7D <br /> Aw TE C�Z3 <br /> w�)-7 PAW 7F -Y XXX X1 - <br /> e inquis e y Ig ure Received by (Signature) D tefTime <br /> aS c�3c7 <br /> Relinquished by (Signature) Received by (Signature) DatefTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) �-�` � DatefTime <br /> Dispatched by (Signature) DatefTime Received for ra ry by 1 Dateffrme <br /> tl7 <br /> Method of Shipment Laboratory Name <br /> Special Instructions /) /A �F l{ I hereby authorize the performance of the above indicate work <br />