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i <br /> 0 Advanced CHAIN OF CUSTODY%CO D= <br /> I <br /> Date /-1' 1/17� /Page ! ofi s <br /> GeoEnviron mental, Inc. <br /> 937 Shaw Road- Stockton, California 95215 - (209) 467 1006- Fax (209) 467-1119 <br /> Client ,' L <br /> Fir <br /> og�ct Man er <br /> ' Tests Required <br /> a <br /> Phone umber <br /> Sa ers gnature) Invoice <br /> AGE <br /> Project Name / Client <br />' Sample Type <br /> Sample Loca on Solid No of Notes <br /> Number Description Date Time Water Air <br /> Comp Grab ContS <br /> Cts �� �' r�.2�J �. � •�- <br /> -Y5he ecerve y ignatura efrtmez7 l7c Received by (Signature) at Rime <br /> �v <br /> Relinquished by (SignauAtW)SPACE ABS ENT CO ��aboratary for field analysis (Signature) t3atefTima <br /> DECUILGRINATED IN I A9 ERVBD IN LAB� <br /> dispatched by (SignatuMSERVATION atefrime Received Tor L boratory by Oate me <br /> Method of Shipment t� laboratory am <br /> i <br /> special Instructions /� �/ fNTACTVfA thereby autho Ze71hrformance of the above indicated work <br />