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( Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmentai, Inc. Date Page --L of� <br /> 937 Shaw Road- Stockton, California- 95215 - (209)467-1006-Fax (209)467-1118 os- 0 3 <br /> Client BoKioo FAm ), L Project Manager — Tests Required <br /> C u dlAA <br /> Phone Number <br /> zf,q) V07 -/ oe; lp <br /> Samplers (Signature) �•►`� Invoice; <br /> Project Name FIA 6- C;T-/ C AGE <br /> ��vr�n IV, Client ❑ <br /> a`� <br /> Sample Location Sample Type A, <br /> Date Time Water Solid CUrrts Notes <br /> Number Description Comp crab <br /> Air qq �� t:+ Am Arr1fD,'A <br /> v1.Kel 4 1 8-11'03 7'y5 Xf, <br /> 0,41,4. A T A t 57- <br /> 4 V <br /> e nquis e y i ature Received y ignature <br /> 57,097 Date/Time <br /> Relinquished by (Signature) Received by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) DatelTime Received for Lebor by DatelTime <br /> Method of Shipment Laboratory Name <br /> C O u CAL TicH <br /> Special Instructions I hereby authorize the performance of the above Indicated work <br /> 7v;o WL <br />