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. c <br /> CHAIN OF CUSTODY RECORD <br /> (� Advanced+ Date6-19`03 Pg, Z <br /> --- GeoEnvn-onmental, Inc. Z <br /> r <br /> I t837 Shaw Road•Stockton.California•95215- (249)467.1006• Fax(209)46T-1116 w <br /> Iv <br /> m <br /> Client Protect MBnaQef Tests Required i� w <br /> �oc ja - w <br /> Phone Number 10 <br /> .. <br /> X09- 41(.r <br /> - 10M- ' <br /> Samplers: (Signature) i�` invoice: <br /> AGE DI <br /> Project Name ?1-0c �� Q <br /> Sample Location S .Date Time W r a Type Solid No.of p~ ti� Notes <br /> Number Description Camp. arah. Air Coms' i <br /> 5T- 1 I )o,.s CAS dank �'-��-a3 1�5 ?� <br /> LL_ 3 %Aariil, LL 200 1355 <br /> LL-4 Cc er LL ao 1 <br /> Ll <br /> LL-ice u CA <br /> �,- Center LL £n ' <br /> ce va y; gnalwe � DatelTlrna <br /> q e y:(signature) 1` UsAj Ti S 6y <br /> OaterTime m <br /> nguished by: fgnsturey 140ceired by:(Signature) 0& N <br /> N <br /> ttatalTime � <br /> Halinquishe by--.(Sig nature) iiecalwad by Mobile Laboratory for Held wislyals:(Slgnatumf 1V <br /> N <br /> Dispatched by;(911}nature) ateJTima a wad Tar r bif: I <br /> aatelrima pap <br /> barman Hama p <br /> Method or BRiprneal: ``Qr 1T rj <br /> 4.�.� Ove L • Y <br /> I hereby authorize the perlormance of the above iodlaatad worts, W <br /> A <br /> spacial inatfuptlans: <br />