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� �� t� t� t� i! t� r� i• � 1• i• � � � t, � �� � <br /> i • t <br /> Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnyironmental, Inc Date s a/ Page 3 3 <br /> 837 Shaw Road-Stockton,California-95215- (209)467-1006- Fax (209)467-1118 <br /> Client Project Manager <br /> LtJ � Tests Required <br /> Phone Number <br /> Samplers. (Signature) Invoice <br /> Protect Name WE�CL��j0/���5 � � AGE � <br /> Client ❑ <br />� Sample Type <br /> Sample Location Date Time No of <br /> Number Description Water Air Solid Conts Notes <br /> Comp arab 1 <br /> o X <br /> ,�3� y 'xAi W 13 0q <br /> 92E.122168682 <br /> areal �740 'X 68683 <br /> Ir <br /> X 68684 <br /> f <br /> X 68685 r <br /> J <br /> 316 y 68686 <br /> i <br /> e in e y ( ignature ece va y ignature DaterTime <br /> Relinquished y ( nature) Received by (Signature) Da e/Time <br /> t �r <br /> Relinquished by (Signature) Received by Mobile Laboratory for!told analysis (Signature) JJ Date/Time <br /> Dispatched by (Signature) DatalTime Rec�Ye�Lary by,.., / Date/Time <br /> Method of Shipm nt ���'ffY//'jj��� Labor ry Name <br /> ig C�4 BCG <br /> Special Instructions I h y hof caled work <br />