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*Advanced CHAINOF CUSTODSECORD <br /> �- <br /> GeoEnvironmental, Inc, Date Page of <br /> 4005 North Wilson Way-Stockton, GMfomia-95205-(209)467-1006-Fax(209)467-1118 r , <br /> isia <br /> Client Pro'ect Mana er - <br /> Tests Required <br /> on Number <br /> 6 /00 <br /> pl rs: gnat re) Invoice: <br /> Project Name - AGES <br /> 1 Client ❑ <br /> Sample Location Sam le Type <br /> Date Time Water Solid No. of . Notes <br /> Number Description Comp. Grab. Air COnts. <br /> 1nLIS 3 5, X �r 34130 ' <br /> y 3 <br /> 34131k + <br /> ..34132 <br /> 34133 <br /> Reied (S+ elureecelve y: +gnatu—e <br /> Date/Time <br /> Relinquished by: ( igna ) Received by: (Signature) baterrime <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) Date/Time <br /> Dispatched by: (Signature) Date/Time Received for Laboratory by: bate/Time <br /> Method of Shipment: Laborato N e <br /> Special Instructions: t ti 1 hereby authorize he performance of the above Indicated work. <br /> CC 1l5,Yli!a� <br /> ICE <br /> GOOD CtiM3i0N. - - <br /> +`�� ccs ✓�cz:�✓ c+� .0�in� `hy CA Ouio,^5 <br />