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Advanced CHAIN OF CUSTODY EGOR <br /> GeoEnvironmental, Inc. Date Page of <br /> 837 Shaw Road- Stockton, California -95215 - (209)467-1006- Fax (209) 467-1118 <br /> I <br /> Client Pro Man er <br /> � ca+�+l Tests Required <br /> one Nyrritler <br /> ( 9-b4 JkV =L <br /> p ars ( lgnature) Invoice <br /> Project Name AGE <br /> � /� � � �K., Client ❑ <br /> Sample Location Sample Type No of <br /> Number Description Date Time Water Air Solid Conts Notes <br /> Comp Grab <br /> e rnqu s y nature Received by (Signature) Date rime <br /> Relinquished by (Signature) UReceived by (Signature) Dale/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Dale/Time <br /> Dispatched by (Signatu Date/Time Recei r Laborato Date/Time <br /> Method of Ship T <br /> nt Laboratory(.f" <br /> Special In5tFUC1110-V I hereby autho the peri ante of the above Indicated work <br />