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r �r r� rr rr rr rr rr �r r r r r r■r r r r r r� <br /> CHAIN OF CUSTODIRECORD <br /> ( Advanced — <br /> - GeoEnvironmental, Inc. Date IPage -- <br /> 837 Shaw Road - Stockton, California- 95215 - (209)467-1006 - Fax (209) 467-1118 Z <br /> Client QyL Projept Managen A!a r Tests Required <br /> Phone Number Vt� � <br /> Samplers: (Signature) Invoice: <br /> AGE <br /> Project NameClient ❑ <br /> Sample Type <br /> Sample Location NO' of Date Time Water Solid , v Nates <br /> Number Description comp. Grab. Air Conts. <br /> i2 AJ <br /> 14 ix X 1� I I <br /> CZ Al IAW t2 c tit? <br /> UJU >�V <br /> i uis ( ignatu Received by: ignature Date/Tim <br /> Le13asll� <br /> Relinquished by: (Signature) Received by: (Signature) Oate(rime <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis:(Signature) Date/Time <br /> e <br /> Dispatched by: (Signature) Date/Time Received for Laboratory by: Date/T'j"--2.4 ' I r-. /4- <br /> , <br /> Laborato <br /> Method of Shipment: 6eA <br /> e <br /> Special Instructions: l 1 hereby authorize the pert ma of the above Indicated work. <br />