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0 CHAIN OF CUSTOD ECORD <br /> Advanced <br /> _ GeoEnvlronmen�al, Inc eats -3 a7 �0 Page �__ot.�___-. <br /> --- _ <br /> 4005 North Wilson Way-Stockton,California-85205-(209)467 1006-Fax(2+467-1118 <br /> Client _ 6a-> oG$v Pl+iolect Manager Tests Required <br /> i, a �r tlrl <br /> Phone Number <br /> Samplers- (Signature) " nvoI E E <br /> '' AGE <br /> Project Namekv�—L-91/1". <br /> Client ❑ <br /> Sample Tye I <br /> Sample Location Date Time Water Solid o of <br /> Notes <br /> Number Description comp GrabAir Coats <br /> AAU)1 13 XZ 114 50 A kW-0303 k� <br /> ' Mw 3 E-00 q <br /> : � , L( <br /> AA Lu) 3 ' d(1 <br /> e&3he y (St net <br /> Received y (Signature) � �a_'�' DatetTlme <br /> Rehnqutshed by ( tgnature) Received by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysts (Signature) Date(Ttme <br /> Dispatched by (Signature) Datel7ime Rev for Labor ry by atelTtme <br /> Method of Shtpm atLaboratory ha ' <br /> A a <br /> I hereby au hor'IzJ the performance of/the above indicated work <br /> Special Instructions <br />