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42-- <br /> Advanced CHAIN OF CUSTODY RECORDGeoEnvironmental, Inc. Date Q0 0 -53 ' Page837 Shaw Road-Stockton,California-95215-(209)487.1008-Fax(209)487.1118 <br /> Client 6M Project Manager <br /> 4b*S+ � f- Tests Required <br /> Phone Number <br /> CZVt) �IGZ-le C a' <br /> Samplers: (Signature) ^ lrwoice: <br /> in <br /> 1„ h <br /> Project Name Lo-wIrL t'Ul �R�'� �,. Ct. Ov4� 'v AGE • <br /> u4-6 Sample Type u1- <br /> Giem� ❑ <br /> k <br /> Sample Location <br /> Number Description Date Time Water Air Solid No. ofCorns. ��h Notes <br /> Comp. Drab. <br /> p 4-jS Y- '-1 J-DW <br /> P-S- S P-S F+oKa Bta1 V57 V ltoi� <br /> 13 C. <br /> a mgwe a y: i nature Receivedy: rgnature D,.srtde�Rime p� • <br /> yr �lC I; Y/ I�'U.' <br /> Relinqui ed by:(Signature) Received by: (Signature) Dab Into <br /> S. <br /> Relinquished by:(Signature) �tA-T <br /> Received by Mobile Laboratory for field analysis:(Signature) DataJTime <br /> Dispatched by: (Signature) Date/Time Received for Laboratory by: Oate/Tima <br /> a> <br /> Method of Shipment: -1 -c ---- <br /> Laboratory Na <br /> tA1- CAL TEGI� <br /> Special Instructions: I hereby authorize the performance of the above Indicates work. <br />