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s <br /> Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc„ Date ! Page ©f.2_ <br /> ej_Nenhem Cafifomia <br /> 1 OW Wee March Lane.Suite A-Stockton, Cafilomia 95207-(209)9560264.Fax(209)95&0700r� <br /> ------ <br /> Client Project M Hager r� <br /> �+ _ �f Tests Required <br /> Phone Number <br /> - -- — Samplers: (Signature) / ' Invoice: 71 <br /> Project Name C.� /b �� % AGE <br /> Client Q r <br /> Sam pie Location Sample Type No.of <br /> Number Description [}ate TimeWater SalEd NotesCamp. Grab. ldllr ContS, i <br /> 59843 <br /> 59844 Ul <br /> ✓ ' <br /> U <br /> ' .o 0 <br /> j 4 5 98 4 5 <br /> iy <br /> 59846 <br /> 1 X1 59847 <br /> IT�{% nqu s e y: rgriet ire ece� y; gnat <br /> f F ( /02 at I as (?ime <br /> a � <br /> ttetlrtqu+she Dy: (Signalwe} elvad Dy; (Signak ) ' ,� <br /> DaterTime <br /> Relinquished by: (Signature) Received by Mbbi19 Laboratory for field analyCsa (Signature) Datelr,rne <br /> Dispatohed by: (Signature) Fleoelv4 or oratory y: 9alelTlme <br /> McMro el Shipment: <br /> Laboratory ame <br /> tilt <br /> Speclat Inatructio : <br /> I Hereby duthotJts the performance of the above indfeated work. <br /> TJ <br /> VCAn carr ideg,t J wr,....,.a.... _1 <br />