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CHAIN PF CUSTODY RECORD <br /> k Advanced <br /> 5 n CTIN <br /> GeoEnvironmentat, Inc. Date V p� N <br /> 837 Shaw Roel Stockton,Galifoa- 95215 (208}4fi7 1U06 -Fax(208} 4fi?-ti18 ^d m <br /> rniiCD <br /> m F <br /> Cent P Tests Required W <br /> CD <br /> _ P ne Lxnber <br /> CD <br /> Sam naftsrej Invoice; LD <br /> A <br /> AGE . <br /> Client <br /> © '' <br /> Project Name Cli <br /> Sample Location Sample Type No. of Nates <br /> on r <br /> Number Description fate Time Solid m <br /> p Ar ConiS <br /> Carnp. Grab. - n <br /> r _ <br /> m <br /> to <br /> 0 <br /> 2- 4 31 <br /> z <br /> _ ti ILIA r `� <br /> �elisqui y n ecewe y: pnature D tefrinte <br /> 4 -4 <br /> lefFirne m <br /> Relinquished by: (Signature) Received by: ISJgneture) Rl <br /> m <br /> -3 <br /> Relinquished by: (Signaiwe) Received by Mobile laboratory for lield analysis:(SiifrmtUrre] <br /> Uata(Tlma <br /> fV <br /> Dispatched by:(Signaluw) Date/7itne Datsfrime coof <br /> ktethad of Sh-pment- oral ame <br /> . -D <br /> Special Insliuctions: I hereby au lie tfie p rman or The above Indlealed work. �m <br /> Cff <br /> CD <br /> cn <br />