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` Advanced CHAIN OF CUSTODY RECORD <br /> ' Date I Y J'q –00 Page L of—L / <br /> GeoEnvironmemal, Inc. <br /> 4005 Moth V11sm Way Stoaltm,Cal kxmial-95205-(209)467-IM-Fax(209)467-1118 <br /> Project Manw TeM kW <br /> Client I- Ktivilti _M C K` �k r <br /> Phone-Number <br /> 20q -467- 1006 <br /> co Sa Is: (S atur ,a`� Invoice: <br /> >� AGE PO <br /> M � a <br /> o Prt>jfxt Namewt K-e Client <br /> +a <br /> LO <br /> o Sample Location pale Time Arsa"I <br /> Solid No.of 4 0�� Noteso Number Description comp. arab Air Conts.�Q <br /> : ' i <br /> a <br /> -00 - - - - <br /> 1 <br /> r _ <br /> L <br /> ale mqum a rgna argnslrra flate/Time <br /> chi.'. ReIInQulahed y:(Sign irlte) Recefred byIgna�we) Uatelrrrte <br /> L► RelinquisYet <br /> :)Signuraa Received by Mobil*Laborafary fol ifeid=%dysls.(Sigm2lutv) !)4t+fTrnr <br /> hed b <br /> - bateniwemacomedtcw Labmatory l)afa{Tiaa <br /> p bispatclwd by_(Sipnvwral <br /> O — Laboratoq Name <br /> o Method of Shipfnenl: <br /> Kora Pit�lq yr <br /> r I Releby authorize the performance at the above indicated w0dL <br /> Special fnstruelinnw' <br /> 1 <br /> --- -- <br />