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t Advanced CHAIN Of CUSTODY RECORD <br /> GeoEnvironmental, Inch 77 ° e Page of <br /> 837 Shaw Road - Stockton, California- 95215 (249)467-1006 - f=ax (209) 467-1118 <br /> Client Pra M. <br /> Tests Required <br /> hone mber <br /> 6-1 L <br /> 7 (Sign ure) / Invoice <br /> Project Name f v AGE <br /> t/o!'7 , t / Client ❑ <br /> Sample Location Sample Type <br /> Number Descnptfon Date me Water Air Solid Con f P7TisNotes <br /> Comp Grab <br /> "�k 4X <br /> C70 <br /> Alt) 41A <br /> elfin uis ed ign re Received by ISiggAture OvkO on= ate/Time <br /> 1C8h' PVATIaN <br /> Refi qutshed by (Signalur-V RecAPMFEIATE <br /> HEAT} �� CONTAMRS / /J DatelTima <br /> I)EC]'3WRINATED IDN LAB PRESERVED TN—I,—A13 <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) T Date/Time <br /> Dispatched by (Signature) DatelTime Rec i a for Laboiator Dale/Time <br /> Method of Shipment Labor am <br /> Special Instructions / 1 hereby ut onze the erformance of the above indicated work <br />