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Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. Date Page -7— of <br /> 837 Shaw Road - Stockton, California-95215- (209) 467-1006- Fax (209)467-1118 <br /> Client Project Manager <br /> Tests Required <br /> e- V, <br /> Phone Number <br /> 1 -�pov-q� <br /> Samplers (Signature) Invoice <br /> Project Name ,, y AGE <br /> 1Ae-v m a^t- t�` I <br /> Client ❑ <br /> � <br /> Sample Location Date Time Sample Type WatSolid No of Notes <br /> Number Description Corn er p Grab Air Cants <br /> tA H fy 3,Z' t o/7/02- z X 1 x <br /> )t 3J 1 130 X <br /> 40 If 11474. x x Y X <br /> z- <br /> • - t r l 'F <br /> e inquis ed by ( i n tore} Received by (Signature) DatefTi <br /> /0 la o� l7DD <br /> inquished by (Signature) Received by (Signature) Date1T me <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) Date/Time Received for Laboratory by Date/Time <br /> r A, dZ, �. ) <br /> Method of ShipmU <br /> + L Lab <br /> orralory TC_,C_ <br /> V ,1 V r Ce. <br /> Special Instructions I hereby authorize the performance of the above indicated work <br />