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CHAIN OF CUSTODY RECORD <br /> � Advancers r <br /> --- � PW <br /> GeoEnvironmental, Inc. <br /> Date� <br /> 837 Straw road-Stockton,camornia-95215-1209)487.IGoa-Pax(209)487-1118 O '] <br /> Client Pr <br /> A' 31� - Tests Re4avit <br /> P Ntternber <br /> Samplers•(Signature) invoice. <br /> W-oj <br /> Pra)ect NamASE <br /> e S S G 1 � C4ent ❑ <br /> Sample Location 1111e Type No.of <br /> Number Description Date �� Water Air Solid Conts. 0 Notes <br /> camp Grab <br /> -Belinau4shed 11sce7vad by'(Slanatuirle / Pjd )ma <br /> Relinquished by (Sipnatuse) RoCelvad by (Stynatuse) 241 �6up .Ilnquished by ionatute) Ascaived by Mobile Laboratory far field snelyslis (Stpnatura) LDals/rrma <br /> al►patohad by (Sspnatwe) gaWT-I to Re *a lose ratary by f� # cate/n e <br /> eA <br /> Method of Shipment lab Dry Hem <br /> 1r VV1! - r .6f <br /> •U special instru Clans i I h reby aulhorize the pertersnance of the shore Indtoated work <br /> In g G w•a 1�'T" e C E I` gx i�4 S t s <br />