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( Advanced CHAIN OF CUSTODY RECOR <br /> - GeoEnvironmental, Inc "��" <br /> Date �"'�� v0 Page <br /> Of <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467 1006-Fax(209)467-1118 <br /> Client Project Manager <br /> K e v f ti M `-K;b t h Tests Requ€red <br /> Phone Number <br /> )-01 '46 T- tDOC <br /> Samplers (Signature) "� f <br /> �� I ��` �o° Invoice <br /> Project Name [Cray +t C�►rvrcj� � �1ad1'goil �wv�tr�'1 � � AGE <br /> LN <br /> }�W Client ❑ <br /> Sample Location Sample Type <br /> Number Description Date Time Water Solid No °f Notes <br /> Comp Grab Air COntS �Q <br /> 2-5-0& )3 , �-J5— 30801 <br /> + }' y. i l : ) o y- 30802 <br /> Mw - 11 A -uv 11,4 �— Y X 30803 <br /> 13 . 1 S X X 30804 <br /> 13 - �� y— �( 30805 <br /> Iww -fid 8 -6•ov 1w , a � S� X 30806 <br /> - '3 -00 '-to Xi—EALA 30807 <br /> e[inquis e y rgnatute ec ve y ig alure <br /> �v`[►M, Date/Time <br /> Retrnquished by (Signature) 5014 t 1 vcl r� �_ .0o f !30 <br /> Reserved by (Signature) ! J <br /> DatelTime <br /> Relinquished by (signature) Received by Mobile Laboratory for field analysis (Signature) <br /> DatelTlme <br /> Dispatched by (Signature) Dale/Time Received for Laboratory by <br /> Dale/Time <br /> Method of Shipment III <br /> CA a v�r k f k T Icule G Laboratory Name <br /> 1 L PAPS P A M`Cawr 0,k tl <br /> Special Instructions �llr](+(}LfD�rl��l <br /> UD tit N li N APPROPRIATE 1 hereby authorize the performance of the above Indicated work <br /> CONDINE <br /> '! r <br />