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• � . 9J C - <br /> ( Advanced CHAIN OF CUSTODY Fit=,. <br /> GeoEnvironmental, Inc. 1 �, Date 1-21-OLPage __�__Of <br /> ` = M <br /> 837 Shaw Road-Stockton,California-95215-(209)467-1006-Fax(206)467-1118 <br /> Client L Project Manager Tests Required <br /> Phone Number <br /> a.c)q- 01- 100(a <br /> Samplers (Signature) irrvoice. <br /> 4-� <br /> AGE <br /> Project Name Client ❑ <br /> v <br /> Q <br /> Sample Location Date Time W�r I Solid No of Notes <br /> Number Descriptioncomp Grab, Air Conts <br /> (AWISAt:-1oz- SZ z t /r / <br /> S <br /> Nw1-7 rVI-LOL 1yU� 3 <br /> I ; <br /> n s e y ign lure es•ve y gna urs) Date/Time <br /> qui d by (Signature Re ed by (Signature) Datel7ime <br /> e nq _{ Ignature) s - - eceived qy Mobile t.,abaratdry for field analysis (Signature) Datal7ime <br /> Dbpatohed t►y9 1�ds $_��ab3�TJl,'d�,� Data me lGialved for a oratory '' Dat /rime r <br /> L i <br /> Method of 6hipment laboratory Nam <br /> Ca l avtr- A C(LM �f I <br /> Special Instructions 1 hereby authorize the performance of the above Indicated work <br /> —*NO <br /> ,,,e A 6Q-2 <br /> i (rhJri . <br />