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Water <br />quisfied by: (Signature) <br />ry Labor <br />I hare y auth <br />Advanced <br />GeoEnvironmental, Inc. <br />CHAIN OF CUSTODY RECORD <br />Date II- 7-44' Page of f <br />`-t 837 Shaw Road - Stockton, California - 95215 - (209) 467-1006 - Fax (209) 467-1116 900E-2T-eldU Comp. <br />Proiect Manager <br />Cr.-h tr' . k te- <br />Phone Number <br />201 4-4(01 i PoL <br />Tests Required <br />Samplers. (Signature) <br />Grab. <br />Pf•- <br />Client F4i6,4A Co 1‘; 116.1 ,N3c <br />Time Date <br />111-41 6 <br />Project Name c0k6; ex?"' C01 si 0,4 <br />Sample <br /> Location <br />Number Description <br />51-- io 07,ot. sk cov-ei-r-t-1P—rusi <br />DC <br />Relinquished by: (Signature) <br />'Received-by: (Signature) <br />Received by: (Signeture) <br />Received by Mobile Laboratory for field analysis: (Signeture) <br />DeterTime <br />4/-7-a./ it...3i) <br />Datealme <br />Dateriitha <br />tirrk.Lk <br /> <br />Date(Time 170'd itila Oispatched by: (Signature) <br />Method of Shipmenl: <br />Special Instructional <br />DeitofT <br />°to <br />(et <br /> -o <br />ize periormance of the abov• indicated wort-. <br />t=1 <br />l=I <br />Received for Laboratory by: