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Advanced CHAIN PF CUSTODY RECORD <br /> GeoEnvlronmental, Inc U(' ' _ s ( � f]ate 2- Page of 2 <br /> 637 Shaw Road Stockton California- 85215- (209) 467 1006 - Fax (209) 46T1118 <br /> Client Prol t Ma ag r <br /> _ '�/ �� Tests Required <br /> Pone Number <br /> Sa p rs (S nature) Invoice <br /> Project Name AGE <br /> Client ❑ <br /> Sample Locatlon Sample Type No of k <br /> Date Time Water Soled Notes <br /> Number Description GoAir Conicompf3rab <br /> II <br /> e` <br /> r , <br /> I <br /> z� <br /> a In { St a ur gceiVa y (Signature) 1 I kJ d OelalTfine <br /> Rellnquwa ad by (Signature Received by (Sionalure) daiarrtme <br /> r VOP 0,Q�; 111 DhIM <br /> L Il� lilshed by (Signator t }l1�� �� ✓ aeeived by IaloblVa laboratory for !laid analysis (Signatu[a) paiefTlme <br /> e) (/ t)atelTlma Received for abotatory by (lnte/Timn <br /> COP3r�l[�ll� A <br /> Method of Shipment l aboral ry Nam ` <br /> k ' , <br /> Speclul Instructions YY l hereby au horlca the erlornlanoa of tti4 1141 r `-r• ,,,C <br /> i <br /> f�,- r,� Pi-` �^r�rii� rllr� �-�C-�111C��,i �t � ,--,-� 1_/7I1_ ., /� �t�1 •�-� � lr� fG3 ir.�f <br />