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j <br /> CHAIN OF CUSTOE&ECORD <br /> Advanced <br /> GeoEnvironmental, Inc. Date <br /> 837 Shaw Road.- Stockton,California-95215-(209)467-1006-Fax(249) 467-1118 <br /> client PM Tests Required <br /> Phone <br /> San: (Sig u `�"', Invoice: <br /> Proiect Name Lf AGE ' <br /> � cum 171 <br /> Sample Type <br /> Sample Location Date Time Water Solid No.of �" Notes <br /> Number Description Air coats. <br /> 1 Comp. Grab. <br /> LK-7 <br /> t � <br /> No `3-- -f <br /> Zin na eceEve y: ignature Oate/Tim <br /> Relinquished by: ( i nature) Received by: (Signature) Daterrime <br /> Relinquished by: (Signature); Received by Mobile Laboratory for field analysis: (Signature) Date/Time <br /> Dispatched by: (Signature) DatelTime Received for Laboratory by: Dateffime <br /> 24 An <br /> Method of Shipment: LaboyaVry Na e <br /> ,Special Instructions' 1,t 1 hereby authorize arformance of the above indicated work. <br /> 1 r'/ <br />