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r r r r r r r r r r r r r r r r r r r <br /> {� Advanced <br /> CHAIN F USTODYHECORD <br /> - - -_ GeoEnvironmental, Inc. Date Page _ 7--of <br /> 837 Shaw Road - Stockton, California- 95215 - (209) 467-1006 - Fax (209) 467-1118 <br /> Client <br /> Proje ana er Tests Required <br /> �.7..�,i'`C.� ! ,f <br /> P one Number / <br /> Sample s: (Signature) ` Invoice: <br /> �� 'C AGE <br /> Project Name 4 , Client <br /> Sample Type <br /> Sample L oca n Date Time Water Solid No. of / Notes <br /> Number Description Camp. Grab. I Air Conts. / <br /> �- LJ I bo <br /> ILI — <br /> -- ig� - �. <br /> lie mgws y: i na tire) kh'- <br /> , <br /> igna9.ure aie(fime <br /> f� P <br /> Rehnquished by: ( ignatureJ Received by: (Signature) Dale�Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) DalelTime <br /> r <br /> Dispatched by'. (Signature) Date/Time fie Laboratory b ate/Time <br /> Method of Shipment: f _ Lab story tJ/me <br /> Special Instructions: t! I hereby ajk4lorize the p armance of the above Indicated work. <br /> CL- ) <br />