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CHAIN OF CUSTODY RECORD <br /> - ( AdvancedI <br /> GeoEnvironmental, Inc Date Page -L_ of <br /> 637 Shaw I <br /> Road- Stockton, CaliforniaCal€fornix 95215-(209)467 1006- Fax (209) 467-1118 <br /> Client �Xk�� FU-70' Pro ect Man r <br /> Tests Required <br /> - _ G I <br /> _ P on Number <br /> a rs (Si tura) Invoice <br /> Protect Name �u�iL 1�.� AGS <br /> _ ��" (�., Client ❑ <br /> Sample Location Sample Type <br /> - Number Description Date Time WaterAir Solid Con Of Notos <br /> Comp Grab <br /> ILI <br /> 000 15NCQ Drr[ON. PROPRA � <br /> - HEAD SPACRAHSENT Cp <br /> —PRFSEPV D IN LAH <br /> PRESERVATION VPJ-110 13- <br /> ASI.MrALS 07M- t <br /> Be in u e y ( rgnaturre) ece ve y ignature ele/T+ e <br /> AW <br /> els, unshed by (Srgnete) Received by (Slanalure) Date/Time <br /> I_ <br /> Relinquished by (Signature) Recelved by Mobile Laboratory for field analysis (Signature) Datefrime <br /> Dispatched by (Signature) Date/Tirrre Rec a+�boratory by <br /> rme <br /> Method of Shipment I< p borator Na <br /> Special Instructions RECD SEALED&I NTAC#VIA <br /> �� � ,J�7if�� ���� 1 hereby aut €xe thl-porlormance of the above indicated work <br />