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( Advanced CHAIN ,OF CUSTODY RECORD <br /> GeoEnvironmental, Inc Date5"_3 page <br /> 837 Shaw Road Stockton, California- 95215- (209) 467-1006 - Fax(209)467-1118 <br /> Clientr d Project M HLagar <br /> Tests Required <br /> lk Phone NLynber <br /> Samplers (Signature) Invoice <br /> Prosect Name � �� <br /> /��� Circ �t V`� AGE,, <br /> p Client ❑ <br /> Sample LocationSample Type �� <br /> Number Description Date Time Water Solid No of a <br /> corny arab Air Conts Notes <br /> m <br /> to tgeas a3 Pi w JC('8 �� 7 <br /> was o e a0 /I5 <br /> 9 <br /> e 4 uis a ( rgnature41— <br /> •ace ve y rgnature <br /> �ate/Time <br /> Re rnquished by (Srgnatur Received by (Signature) ly3e eaorni <br /> pate(Time <br /> Rehnqutshed by (Signature) Received by Mobile Laboratory for field analysis (Signature} <br /> Dste(Time <br /> M i <br /> Dispatched by (Signature) Date/Time Received f boratory <br /> � ele(Time <br /> �� Ga I <br /> Method at Shipment Laborato?Nam <br /> 6pectaf tnsttuctions � � �•r• i <br /> I hereby a thou a the performance of the above indicated work <br />