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Advanced <br /> CHAV4 OF CUSTODRECORD <br /> GeoEnvironmental Inc. Date Page __z Of . <br /> 837 Shaw Road-Stockton, California -95215 - (209)467-1006- Fax(209) 467-111a <br /> Client r061. Project Man ger <br /> Tests Required <br /> Phone Number � 1 <br /> Samplers: (Signature) ! Invoice: <br /> Project Name ' ` AGE <br /> —R( <br /> Client ❑ <br /> Sample Location Sample Type No. of .q <br /> Number Description Date Time Water Air Solid Conts � Notes <br /> . <br /> Comp. Grab. # i <br /> ..... 6.5.9.82. <br /> J <br /> alto P- f' ;6.5.98.3 . 3 <br /> 65984. <br /> MLO <br /> IOU,* �065986. _. ..! <br /> MWq <br /> x5.987 <br /> "die nqu s e y: r nature eca ve y: gnalure <br /> IJL <br /> Relinqufa ed by: (Signal Received b (Signature) ti <br /> Y� { 9 ) Dale/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) Date/Time <br /> Dispatched by: (Signature) DatelTimea for,La orator y: Da /Time <br /> 10, <br /> Method of Shipment: VOASIO&GiMETALSJUIRKLabo atory Name <br /> e 2 <br /> Special instructioGoaD CONnIrIoN ApAROPR(ATE 1 hereby authorize & performance of the above indicated work. <br />