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Advanced CHAIN O <br /> CUSTOD E ORD <br /> -4- Of <br /> GeoEnvironmental Inc. - 1 Date Page <br /> 837 Shaw Road- Stockton, California- 95215 - (209)467-1006 Fax (209) 467-1116 <br /> Client �� JPro ect Manag Tests Required <br /> 1 1. tt M <br /> one umber j <br /> CJ <br /> Sa ers fgnature) Invoice <br /> AGE <br /> Project Name Client ❑ <br /> Sample Type ka <br /> Sample Location Date Time Water Solid No of Notes <br /> Number Description Comp Grab Air Conts <br /> orr) X, <br /> ecewe y rgnature <br /> Datem e <br /> elinquis e ( al e) <br /> 4 <br /> Rehnquwshed by (Si atre) V Received by (Signature) DatelT me <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) DatelTima Recervod toora ry by ate/Trme <br /> 6D <br /> Method of Shipment Laborato me <br /> ui_� <br /> Special Instructions f herebyZe(rzrformance of the above Indicated work <br /> t <br />� I <br /> I <br />