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CHAIN OF CUSTODY RECO <br /> Advanced <br /> GeoEnvironmental Inc. pate Page hof_ .� <br /> ^' <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467-1006-Fax(209)467-1118 <br /> Client Project Manager o' <br /> ������ ��u�� `��j(,/�j21� �- Tests Regui <br /> Phone Number ? a <br /> Sample (Si e) Invoice: <br /> OV F AGE IR <br /> Project Name bvo�; ��v,f�L�.� L�3 ,U� GQ G Client <br /> Sample Location Sample Type No. of p� v <br /> Notes <br /> Number Description <br /> ;Date Time comWater rab ir Solid Conts, <br /> �,A <br /> NI IV CJIAV-AOCic7-e <br /> OAS I 0&G MPALS11THEf <br /> 18978 <br /> GOO CONDITION APPR PHIATE 18979 <br /> fiEA ' <br /> e i e lure ece+ve y: ( +gnatwe Oaie/Tin,. <br /> Re inquishe by: {Signature) Received by: (Signature) �/� Dete/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) <br /> �' "` W� �V(13 patelTime <br /> Dispatched by: (Signature) 0atelTime d La or ory b p1 Date(Tlme <br /> �'� ) ,° <br /> Laboratory Name <br /> Method of Shipment: a f <br /> Special Instructions: ` y- I hereby authoflze the erformance of the above Indioated work. <br /> ✓�`. <br />