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24 CHAIN OF CUSTODY CO D <br /> Advanced Date _ Page of <br /> _ GeoEnvironmental, Inc. <br /> 4005 North Wilson Way Stockton,California-95205-(209)467-1006-Fax(209)467-111 B <br /> I �j Project Manager Tests Required <br /> Client [ UC %1 dot fla f 17 Yr f <br /> Z' Phone Number <br /> Samplers (Signature) Invoice <br /> AGE <br /> Project Name S �dG�( «, tirp1aI � � Client ❑ <br /> Sample Type No of <br /> Sample LocationSample <br /> Time Water Solid Notes <br /> Number Description Comp Grab Air Conis <br /> MV- 3 <br /> J�', 3� <br /> P 11 q- <br />') W-2 22 rr� <br /> L2Z--Y� <br /> 'Te in uis e e etre y g slur <br /> y ignat re <br /> DatelTime <br /> Relinquished by (Signature) Received by (Signature <br /> DatelTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) <br /> f Date/Time Received for sbofatory by DatelTime <br /> Dispatched by (Signature) <br /> Laboratory Name <br /> Method of Shipment ( G1{,Yi ,� <br /> L v6-V? , I,/ --- <br /> Special Instructions <br /> 4G METALS OTHER I hereby authorize the Perrot ante of the above indicated work <br /> C t <br /> GOOD CONDITR0 NrTE <br /> ou �t <br /> Ctx,lprl r�eC�e fact a <br />