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� ttttttt>>. iiiiii�w � i• i_ t� ti � I• � � � � � I• <br /> [ <br /> CHAIN OF CUSTODCORD <br /> Advanced <br /> GeoEnvironmental, Inc, Date <br /> 30 `q Pae 10 <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467-1006-Fax(209)467-1118 <br /> Client Project Manager <br /> a IAt1 VI M L K��!,Y vi Tests Required <br /> Phone Number <br /> Samplers (Signature) Invoice <br /> Project Name L k 4✓cjK e 4 1 V qC K Odd r✓i'My Client T ❑ <br /> Sample Location Sample Type No of <br /> Date Time Water Solid <br /> Number Description Comp Air Conts <br /> Grab 22571 <br /> k <br /> 0 9,OC6 V I I <br /> ' <br />� RAZ -10 10: 22572] � <br /> -30 22573 <br /> n -14 `1 IC% y t 1 22574 <br /> 62-3-30 i �.�a t �, � � � 22575 <br /> 18 0 1a 22576 <br /> B `' -'�0 I E - �q I I 1� o cl 22577 <br /> Rel' qui ed by (Sig nat_ ufeRec e y ignat _ <br /> �tJ�t ,f{��(y(rJ ►�, ,L� D~'~ r{'3� 4 l�-3 D <br /> Relinquished by (Signature) UiipAd by (Sig atu Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for held analysis (Signature) Date/Time <br /> Dispatched by (Signature) Date(Time Received for Laboratory by Date/Time <br /> Method of Shipment Laboratory Name <br /> Special instructions n I hbreby authorize the performance of the above indicated work <br /> VOAS <br /> ERVATION �+�flz�G-(q <br /> GOOD CDNDITI <br /> HEAD SPACE ABSENT _,,, CONTAINERSf <br />