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i • <br /> f <br /> Advanced CHA!N F/CUSTODY ECORD <br /> GeoEnvironmental, Inc. --1g9 Date Page - -- °f -�— <br /> 837 Shaw Road -Stockton, California -95215 - (209) 467-1006-Fax (209)467-1118 <br /> Chant Project Manager� � � � , Tests Required <br /> Mee Number <br /> ignature) Invoice <br />� Project Name 7ja'�t— <br /> '�� Client <br /> Sample Locatio Date Time Sample Type Solid No of Notes <br /> Number Description Water Air Conts v <br /> Comp Grab c <br /> I � <br /> 322- 89612 <br /> r <br /> 89613 <br /> V10-1 131 <br /> � pf�r�,f +I <br /> oil <br /> ^ M1sfi l'"tf� _' <br /> ACE <br /> (�C 1iJLJ 1 L 3 r <br /> lj�I1i1 u1V irlc,til <br /> Re inq i ed y Vna re} ace ve y igaature R a/Tlma <br /> 16tto <br /> Relin u[shed by (Signature) VReceived by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysts (Signature) Date(Time <br /> I <br /> Dispatched by (Signature) Date/Time Received for Laboratory by {, /�DatelTime <br /> I C7`I/ <br /> Method of Shipment La oratoryam <br /> Of& 10,0 to— <br /> lnst[ucttoas <br /> sut r e the pe <br /> Spec[ai 1 hereby rt mance of he above indicated work <br /> f4Ltl NJ seal i <br /> w <br />