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Advanced <br /> CHAIN OF CUSTODOhECORD <br /> --- GeoEnvironmental, Inc. Date 3 jus Page ` of <br /> 837 Shaw Road-Stockton, California-95215-(209)467-1006- Fax(208)467-1118 <br /> Client L± S Protect Manager Tests Required <br /> Number CQ <br /> S lers ( � re) Invoice <br /> AGE <br /> Protect Name t�,� � � Client ❑ <br /> �v <br /> Sample Location Date Time Sample Type <br /> Water Solid No of Notes <br /> Number Desenption Comp (arab Air Cont8 <br /> 5 <br /> U34 <br /> MAT32 <br /> 5r- <br /> J-W4 4 <br /> 1VUU'LkB' <br /> inq0edby <br /> lure) Receivedy (Signature) DatelTr e <br /> &3q <br /> Resinignature) Received by (Signature) Dstajime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date rime <br /> Dispatched by (Signature) Date/Time Received for Laboratory by t Date/T e <br /> Method of Shipment, [[ Labor ry �� <br /> n2 <br /> spectiai tnstitucititms i here b thonza the perform ind ed work <br />