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i• � i• � � � � � � � � � � � ii■■ IIIIIIIII■ <br /> Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. Q3 Date i o Page r of <br /> 637 Shaw Fload Stockton, California-95215- (209)467-1006- Fax (209)467-11'18 <br /> Client Project Manager <br /> r3r,-qN N1/1fl4a1tJ <br /> Tests Required <br /> a Phone Number <br /> 02c <br /> Samp ery (Signature) Invoice: <br /> AGE <br /> Project Name Tk 1v Client Q <br /> �L <br /> Sample Location Sample Type No. of Date Time Water Solid Notes <br /> Number Description <br /> Comp. (arab. Air Conts. <br /> �L P 63 w � <br /> L . 3 as <br /> i <br /> n%t w yd,3 ?X 0car �l 13 d C <br /> I. <br /> OL&J a rho' w5 Ao <br /> a? A <br /> w 6 a xo <br /> W$1c3 dA403 1u- tj <br /> y: ?rig me <br /> e qu s e <br /> Relinquished b nature) v y <br /> late/Time <br /> '� ATtarr <br /> Reiin QQJJe tay:;(Si g+e CDN1AIlVE;i3 Received by Mobile Laboratory for field analysis: (Signature) DatelTime <br /> L:i.CIiLOBZ4,1T3DiNI,Q�PJa&=VBDIN <br /> Dispatched by: (Signature) DatelTime Re aboratory by: D te(Time <br /> dP <br /> Method of 5hipmAnt: Laboratory ame <br /> overly-1 IF AI <br /> Speci0 I hereby au o ze the p ormanee of the above indicated work. <br />