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tt>!. ttttl� tt>• �■�■ tttl■tttr tttt� � � � � � � � � � � � <br /> s • <br /> ( Advanced CHAIN OF CUSTODY R CORD <br /> GeoEn�ironmentala Inc. �, C r c Date 06--11-0 t Page of 2 <br /> �- ��a�� w -mac <br /> 4005 North Wilson Way-Stockton,California-85205-(209)467 1006-Fax(2 467-1118 <br /> hentProject Manager <br /> �., ec� ��r-E- r 7%M U e,� �o.r- 'Tests Required � <br /> Phone Number <br /> am - 4­,c0-7- /Oct <br /> Samplers (Signature) �o 5 Invoice <br /> � <br /> roject Name �1 ��11 a ,`tib AGE <br /> a C, T C�eu ro r1 N. Client ❑ <br /> Sample Location Sampl Ype Solid No of v 'v `' <br /> Number Description Date Time Camp Grab Water Air Conts C ��' Notes <br /> t r i3v AJ,oc 4� 1 Nle o I �63a X X , ' 69751 <br /> 011101 �y o X, X i 19752 <br /> , <br /> 16(vl3ol !�u 06I301645- X �' X X _69753 i <br /> x , - <br /> s- /vl:.,l 1c,i Ow Te'_ b'S C)�S � � X X 69754 <br /> li <br /> —t 1 D hock 's C(Ct3c� I �l X X 69756 <br /> /Ly4jII'I Cc, X 59756 <br /> l <br /> AL,1301 X X X {� 59757 <br /> e s a y ( ignalure Received y gnature �- <br /> 1 t <br /> �_ D(V/3Gi 45-32- <br /> nquhs ed by (Signature) Received by (Signature) Date/Tlme <br /> lelinquished by (S gnature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> bspatched by (Signature) Date/Time I Race Iv9d for LabIory b Date/Time <br /> Q /O <br /> Method of Shipment L oratory Name JJ <br /> Cit over n,t �-� � C b 1 <br /> ipecfal Instructions i hereby authorize the performance of the above indicated work <br />