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CHAIN OF CUSTODY @CORD <br /> Advanced <br /> GeoEnvironmental, Inc. Date Page <br /> of <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467-1006-Fax(209)467-1118 <br /> Client Project Manager Tests Required <br /> PPURC-62NI CAJ <br /> Phone Number <br /> ti L147 <br /> Samplers: (Signature) Invoice: <br /> AGE,�Fd <br /> Project NameC4-- Client E] <br /> Sample Location Date Time Sample Type Solid No. of 92234 <br /> Number Description Water Air Cants.comp. arab. <br /> 71L ft I0 ;_ <br /> L 921,35 <br /> 7-( L Y 6[Lf. 92236 <br /> )d Ud11 IQ <br /> 92237 <br /> Reli lrLhed gnature) Dale/Time <br /> ,��Y: (SiApatut Re V ed by: (Si 2,,ofd <br /> 7Vy\ e <br /> Relinquished by: (Signature) Received by: (Signature) DatetTime <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) baletrime <br /> Dispatched by: (Signature) Date/Time Received for Laboratory by: Date/Time <br /> Method of Shipment: Laboratory Name <br /> k,'f ad nanitir-rxi rl Me-Con P17,z 1 Arial., <br /> IVILI ATWPA J— <br /> Special Instructions: IGUIP _ je PRESERVATION I hereby author' performance of the above indicated work. <br /> rzeCl0lvL,9.A a <br /> --GUORUN0111UN RrrHUrhlAIt <br /> HEAD SPACE A <br /> BSENT CONTAINERS <br />