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( Advanced CHAIN OF CUSTOD RECORD <br /> DateZ 6/' page Of <br /> GeoEnvironmental Inc. � <br /> 837 Shaw Road-Stockton,California- 95215- (209)467-1006-Fax(209)467-11.18 <br /> f <br /> GIEBnt A "a Tag RequfreCl <br /> Ptrotite Num4e0' <br /> 7- OD <br /> rrlpiers. (signature) Invoice: <br /> ASE i <br /> Project!Name �.-' - .� Ghent El <br /> Sample Type <br /> Samp(e t.ocation wMer SolidN©.of Nis <br /> Number Des Aptian <br /> Date TimeAir Cortts. _ <br /> Comp_ Grab- <br /> 1Zwvd k= I A'�I A <br /> I A <br /> A - <br /> a lnquis y::( o9nature), un f <br /> elinquished y: 9naturb Revolved by: (signature) natelTime <br /> Relinquished by: (Signature peoeived by Mob6le laboratory for field analysis:0MUnabrra) DaWTMM <br /> Dispatched by:(signature) Imo r Laboratory by. Dat�/Tisse <br /> Method of Setipmtat: Laboratory Nan►! ,^ <br /> ! ° lam! <br /> special Instructions: , i hereby autborise the performaeoa of the above indicated worIL <br /> 7ei� ' <br />