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Advanced CHAIN OF CUSTODOECORD <br /> �-���4_ � � <br /> --- GeoEnvironmental, Inc. Date Page o� <br /> 837 Shaw Road - Stockton, California-95215- (209)467-1006 - Fax (209)467-1118 <br /> Client Project Manager <br /> � Tests Requiredc <br /> Phone Number <br /> (4 1 Cz <br /> Samplers (Signature) G� Invoice <br /> � F Q, AGI <br /> Project Name Client <br /> Sample Location Sample Type No of 4 `� <br /> Number Description Date Time Water Air Solid Conts � Notes <br /> Comp Grab <br /> k%'�C' Li X1 X X X <br /> it -- 17 <br /> quis e y ignat re) <br /> Received y (Signature) �— <br /> Date(Trme <br /> 7 J ��—cJ <br /> R quashed by (Signature) Received by (Signature) r-- DatalTrme <br /> j Dateffime <br /> nature rued b Mobilo Laboratory for field analysis (Signature) � ` <br /> Relinquished by (Signature) Received y rY Y � 9 <br /> Dispatched by (Signature) Date/Time Received for Laboratory Dateffirn " <br /> f .6�' <br /> Method of Shrpme Labo ori Nam <br /> �,Irz1 6 CL d1 <br /> Special Instructions I her authorize the performance of the above Indicated work <br />