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CHAIN OF CUSTODAOECORD <br /> Advanced Date Ce oa(v Page of <br /> GeoEnvironmental, Inc. <br /> 837 Shaw Road - Stockton, California-95215 (209) 467-1006 Fax (209) 467-1118 <br /> 1JG <br /> Client .�J' Project Manager Tests Required <br /> P pne Number <br /> Samplers: Sign re) Invoice: <br /> AGE- <br /> Project <br /> GEProject Name �� � Orc,-� �,. Client E3 <br /> Sample Type No. of <br /> N <br /> e Location Date Time Water Solid Nates <br /> ;;a <br /> er Description Comp. Grab—J—Air Conts. <br /> X313� <br /> "8LQ <br /> ocl n- <br /> u c��3� <br /> O&LO <br /> ()atelrim <br /> e r e gnatur, eceive y: (signature) <br /> Date/Time <br /> Rail she by: (Sig t Received by: (Signature) <br /> Relinquished by: <br /> Date/Time <br /> (Signature) Received by Mobile Laboratory for field analysis: (Signatu <br /> re) <br /> Date rime Received for Laborato Date <br /> Dispatched by: (Signature) <br /> A � <br /> L oratory N <br /> EMatlhodf Shipment: I hereb uthorize the perfor nce of the above indicated work. <br /> nstructions: <br />