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—� .� tlllllll� ■�■ llllllll� � � � , � � � � � � � � .� � � <br /> Advanced CHAIN OF CUSTODY RE <br /> GeoEnvironmental, Inc. Z� <br /> Date 03 !SdPage _� of <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467=1006-Fax(209)467-1118 <br /> Client 5 -roh �cd er roject Manager <br /> f I'w h �aA Tests Required <br /> Phone Number <br /> Pr <br /> 0,QJ L1& 7 - BOOL <br /> Samplers: (Signature) <br /> Project Name Invoice: <br /> � ro Cid <br /> AGE <br /> Sample <br /> Sam Q Client <br /> pia Location Sample <br /> Number Description Date Time Water Solid No, of <br /> Comp, Grab, Air Conts. �a Notes <br /> M+•rrt 011ri told 62994 . <br /> a3tsn o3,�n1 �a►,r 62995 <br /> fvvw1 ' ° o3tsol 093 �( i 62996 <br /> M1a�I rJ�rl s�1 d3 t sp� IOS� x � <br /> Mss � 67997 <br /> o tsa 031sol 11.30 �( ,►( E 62998 <br /> hGo{�/031So� tSoj (`'��� X �( ' 62 <br /> r 999 r <br /> hJ5157/03esa1 1 f'��Q r <br /> r <br /> y: ignature ece�� y: gnature r 63000 O a <br /> t3at /Time <br /> Re' qu€she by: ( ignature) <br /> Received by: (Signature) <br /> Re!€nqufshed by; (Signature) <br /> Date/Tfine <br /> Received by Mobile Laboratory for field analysis: (Signature) <br /> Dispatched by: Date/Tim.(signature) Date/Time ' <br /> III ad for Labo o by: <br /> ate/Time <br /> i Method of Shipment: /`.�0� <br /> ou ef'ht, �`� a aretory Name <br /> Speciallnstructions: Ica kill mc 64rn I/ <br /> �..,. PRESERVATION I hereby authorize the performance of the above indicated work. <br /> HEAD SPACE ABSENT CONTAINER,S,__,__ �J <br />