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Advanced �` ' _-=�� CHAIN OF CUSTODY RECORD <br /> "c ,3 f <br /> GeoEnvironmenta , hic Date Page of <br /> 837 Shaw Road - Stockton, California 95215 - (209) 467 1006 - Fax (209)467-1118 <br /> Client _ Pro ect Manager Tests Required <br /> one Number <br /> '?�1 7 10 C' <br /> Samplers (Signature) , Invoice <br /> Project Name _ �✓ AGE [a <br /> Client ❑ <br /> Sample Location Sa ple Type No of � �r�� � <br /> Number Description Date Time Water Solid !� Notes <br /> Comp Grab Air CDniS t <br /> t'a ter 7 <br /> AA Q <br /> 1,2 q5 <br /> /J J <br /> l5-2- — <br /> fuytAJI IVUW I E 'I LZMw I <br /> C — <br /> -1eTin us e agnature eceive y (Signature) DalelTima <br /> linqurshed by (Signature) Received by (Signature) DatelTrme <br /> Relinquished by { NDp _ pf PItpPR 401eit1 by Mobile tahoraiory for field analysis (Signature) Dalefflma <br /> READ SPACEABSENT CONTAINRRS— <br /> T(12 IN ATE <br /> , <br /> UINI&R—MMIRY PJA LAII <br /> Dispatched b (Signature) Dete/Time Rec rvedlfor Laboratory DalelTlme <br /> g> Y g VOA Dk(3 M11TALS QiHHR <br /> PAESSRVATIOM <br /> Method of Shipment t _ laboratory Name <br /> Special Instructions }� 1 here y authorize the parfotmance of the above Indicated work <br /> / �` c s�!A_REC'D-aCALM&JNTAGT-VJft <br />