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0 9 CHAIN OF CUSTODACORD- <br /> Advanced <br /> GeoEnvironmental Inc Date Page �-O <br /> 837 Shaw Road - Stockton, California 95215 (209) 467 1006 Fax (209) 467-1118 <br /> Client <br /> Project Manager Tests Required <br /> I <br /> Phpne Nuqtt7r, <br /> Samplers (Signature) / Invoice <br /> AGE <br /> Project Name Client ❑ <br /> Sample Type <br /> Sample Location Solid Notes <br /> Number Description Date Time Water <br /> cafiAir Contip Grab � <br /> r V 9 W <br /> I Z) � <br /> Y 1f <br /> Data ime -- <br /> eiinqui e y i atu ) Receivedy (Signature) R <br /> Reiinquished by {Signature) Received by (Signature) DatelT�me <br /> Relinquished by (SLgrnatute) Received by Mobile Laboratory for field ana4eis (Signature) Datefftme <br /> Dispatched by (Signature) Date/Time Rec d 5tr aboratory by atalTtme <br /> Method of Shipment Al C— <br /> Laboralory Name r <br /> Special 4nsttuchons �� /i �/, <br /> 1 hereby authorize the performance f the above indicated work <br />