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fififif� i, f� � ti♦ � � � I• � � � � � � � � I• <br /> � <br /> CHAIN OF CUSTODYRECORD <br /> Advanced <br /> GeoEnvironmental Inc. Date q 70-Q`f page :L-ot t D <br /> 4005 North Wilson Way-Stockton, California-95205-(209)467-1006-Fax(209)467-1118 <br /> Client Project Manager <br /> Tests Required <br /> Phone Number <br /> Samplers (Signature) �� �' Invoice <br /> �o <br /> AGE <br /> P ro)ect Name [,�k a� �,�e l�u L�( 5 Tpp ,�,+.I,.v� �Jfz �� ;` '� Client <br /> Sample Location Sample Type S°lid No of Chi o <br /> Number Description Date Time Water Air Conts t <br /> Comp Grab 22536 r <br /> 22537 <br /> 22538 <br /> 22539 <br /> r <br /> -110 X 22540 <br /> r r <br /> X 22541 <br /> t : ro 1 <br /> g 3 X 22542 <br /> e rnqurs a y l ignature a veil y ig ure /D l—`�y eater i r16, <br /> a <br /> �i�t rvt <br /> t 7 CC-30 <br /> �-4a 3D <br /> Relinquished by (Signature) Re ived by (Sign Lure) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DatelTlme <br /> Dispatched by (Signature) Datefrime Received for Laboratory by Date/Time <br /> Method of Shipment Laboratory Name <br /> VnKlUn M - (4 burl <br /> Special tnstructionsl^tt,,� PRESERVATION I hereby authorize the performance of the above indicated work <br /> GOOD CU-11-UMUN APPROPRIATE <br /> HEAD SPACE T NTAIN R <br />