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Cn <br /> Advanced CHAIN OF CUSTODY1 CORD ,4 <br /> --= GeoEnvironmental, Inc. q Date Page or-r� <br /> „- <br /> -- 0 <br /> 4005 North Wilson Way-Stockton,California-85205-(209)467•1D06-Fax(Mg)487-1118 n <br /> m <br /> Tm <br /> Client Proje ana wired or <br /> Phone Number n <br /> I � <br /> Sa Ie : { ' natur } Invoice; �. <br /> Project Name AGS <br /> i giant <br /> Sample Type <br /> Sample Location Solid No. of Notes <br /> Number Descripiioii nate Time Water Air Conts. <br /> Comp. Grab. <br /> ' <br /> # 4�35/­­244 'k N <br /> • V <br /> r� <br /> 11006%:F,rrn 6260 m <br /> Fur now <br /> I Y, 26726 <br /> 26727 <br /> Q <br /> ,f 2672.8 <br /> e n ul ed rgn ure Received Sy: ` igna ure <br /> - slin uEshed bY igna (e) Recelved.by; (Signature) DdelTime <br /> io <br /> n <br /> Ralinqu a ed by, (Signature) Received by Mobile Laboratory for Reid analysis: (Signature) Datemme <br /> Dispatched by: (Signature) Date/Time lRecelved for Laboratory by: DatelTime <br /> Method of 6hipment'. Laboratory am <br /> V <br /> m <br /> n UN 1 hereby author ze the p rt r once of Ula abov Indic end work. <br /> Special Instructions: GOOD CONDjTIGN U <br /> APPR r .' <br /> A '!y1 <br />