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Advanced CHAIN OF CUSTODY RECORD <br /> _ - GeoEnvironmental, Inc 2yo& - Date Page -I- Of <br /> 837 Shaw Road- Stockton, California- 95215 - (209)487-100$- Fax (209) 487-1118 <br /> ClientProject Manager <br /> er Frei e ?CLU 1 —00 Tests Required <br /> Phone Number <br /> c -- 1 bad <br /> Samplers (Signature) Invoice <br /> Project Name AGE fZ <br /> CEO Ce e- Fre{ e � � Client ❑ <br /> Sample Location Sample 7ype Date Time Water Solid No of Notes <br /> Number ©ascription Comp crab Air Cants <br /> 1 J(UG3a l a 17 A. <br /> k1 <br /> IC�Ji� PRI PRVATION <br /> GOOD COMM <br /> APP 'OpRIATE ' <br /> ;r L l+ LIt �INITi 4rC' <br /> e n e y (Signature) Received y (Signature) Data lme <br /> lin 6-cm, Pj1,q1&I q-3CD X30 (-oo <br /> Rehn tshe y (Signature) Received by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Datefrime <br /> Dispatched by (Signature) Date/Time Received for Laboratory by Date/Time <br /> Method of Shipment Laboratory tame WWI <br /> Special Instructions !! ,pp / i hereby authorize the parfor ante of the above Indicated work <br /> Cd 1p APJVed� eeYbd <br />