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Advanced CHAIN OF CUSTODY RECORD <br /> -/6 b 3 Pa l� <br /> GeoEnvironmental, Inc. 6 ��C �/�� Date e <br /> 837 Shaw Road- Stockton, California -95215 -(209) 467-1006- Fax (209)467-1118 <br /> Client f_ Pro ect Manager <br /> T Tests Required <br /> ) r t <br /> Phone Number <br /> 1 - l00i <br /> Sa lers (Signature) Invoice <br /> AGE <br /> Protect Name Client ❑ <br /> Sample Location Dae Time Waer Sample Type Solid No of Notes <br /> Number Description Comp Grab Air Conts r� <br /> Mw Icfrt a a� 9-r v �3 A) <br /> mWic/CIO I r is <br /> 0© tw 9 <br /> 1L D rc�� W 1z' I� f <br /> t t �- <br /> I � W i ham' fin w I f 1 C] <br /> Li ma �'_.__..... <br /> �rnwf�p ra ��wf� it <br /> e in e y ignature) ece ve y igna ure Date/Time <br /> 91-/4 -C)3 aze <br /> Rb -qulshed by (Signature) deceived by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobile laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) QatetTima I Received for Laboratory by Q te/Time <br /> Method of Shipment •. Laboratory e <br /> ICf�lt° � t <br /> Spacial lnslruotiane `k BAD pACBAHS NT4M t�h reby authorix he performance of the shove Indicated work <br /> 9/ DECHLORINATED IN LA8RVRV W <br /> IA <br /> KUK�RES;BRYA'FtIpPT � ! <br /> r <br />