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{ Advanced CHAIN OF CUSTODY RECORD <br /> - GeoEnvironmental, Inc. Date 1? Page --/- ofd_ <br /> 837 Shaw Road- Stockton,Calitornia- 85215 - (209)467 1046 Fax (209)467-1118 <br /> Client Project Manager <br /> r� Tests Required <br /> Phone Number , <br /> '?p al <br /> Samplers (Signature) Invoice <br /> Project Name AGE,,K <br /> Client <br /> Sample location —95mpkType No of <br /> Date Time <br /> Number Description comp Grab Air Solid corns Nates <br /> 88292 <br /> 88293 <br /> 88294 <br /> 88295 <br /> a nqu a y ignatt e) ece va y gnature t(i lP/oz pale im <br /> 3_ CYNA tl-e/L C 'SG "`d o0 <br /> Ra inq y S ur Received by (Signature) �" Date iiia <br /> Relinquished by (Signature) Received by Mobile Laboratory lot field artaiyers (Slgnature) Data/Tima <br /> Dispatched by (Signature) atalTlme Receive nr laboratory by nale/Tlme <br /> Mell.od of Shipment Laboratory flame <br /> LIZ <br /> Special Instructions 3 ! herebya rixe lha_p o{mance the above indicated work <br /> PRESERVATION <br /> WDC CGNDITIf -' _ AP l?0RIATE <br />