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Advanced <br />GeoEnvironmental, Inc. <br />CHAIN OF CUSTODY RECORD <br />Date a -9_1- 0-7 Page I of <br />837 Shaw Road - Stockton, California - 95215 - (209) 467-1006 - Fax (209) 467-1118 <br />0 <br />Client• i I-tan r•on Van V let; Lt-e <br />N <br />Project Manager <br />Tests Required 'R.' Oberl ar ALI <br />Phone Number / // / / <br />9.Let - li (.421 - i0C/6v / / . <br />Samplers: (Signature) / Invoice: /,/ <br />Project Name jOhri kail (1,,unpntlq teehccoe0C,E4( / ///r- AGE VI <br />/ Client n <br />Sample Location Samle Type p <br />No. / • n-,/ / <br />Number Description Date Time Water Solid of / Notes <br />Com p. Grab. Air <br />131 9-10-ai i i io Nx 5 )( x c X. X X <br />02- 1.-2t--01 iqs-7, o X l(XXX <br />ai- io <br />3ii 1 .1300r1 - 61 CD <br />14 Pi- 1.,1-2-0-c1 c's 1 f 00V4 <br />13 '- re 61 0 6.0- a,---o--1 OS :4'7)9 ‘7<' I tA-0 ta <br />E31 - 3(.) 81 Ca) ..36 .0 2.-2-0-0-1 tfil9 X <br />81-4k) 8 i qC, P( 2..-2z--ci , oqs-.* i 1-16tci <br />3i- SZ E3 1 e_i) 5-6 .(14- .2.-uyti io:.)- _ <br />, <br />1 <br />Relinquished by: (Signa re) —(Signature) Received by: Date/Time <br />Relinquishe-d b gna ure) Received by: (Signature) Data/Time <br />47---EA-• T. <br />Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) g q 140ci r / urri AMA. riczi Date/Time <br />Dispatched by: (Signature) Date/Time Received for Laboratory by: <br />() --1--• .N- <br />.... Date/Time <br />. . <br />&Jovein'ich4 <br />Method of Shipment:, Name <br />0,Ati./ Tedel <br />Special Instructions:.) <br />61)C-= --ti) aletfa 1( Cidicy.th?nv ..0 AM <br />I hereby authorize the performance of the above indicated work. <br />Vi-beLajA217(aki