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CHAIN OF CUSTOD*ECORD <br /> Advanced <br /> --- GeoEnvironmental, Inc. Date <br /> 3 05 Page of <br /> 837 Shaw Road - Stockton,California- 95215 - (209)467-1006 - Fax (209) 467-1118 r <br /> Client Project Manager <br /> Tests RequiredW Cc)e-k/tw. <br /> P one N tuber <br /> Z�Gi L_(4-" -W C)C <br /> Sam lers: (Signature) h Invoice: <br /> AGE <br /> Project Name ��'�� �- AoV (� Client ❑ <br /> Sample Location Sample Type Date Time Water No. of /y Notes <br /> Solid <br /> Number Description Air Cents. <br /> Comp. Grab. <br /> �z d3ksog � � 3��srfd� oocr <br /> e nquis y: ignature) Li <br /> Received y: rgneture Date/Ti e <br /> G.� <br /> Relinquished-5y: (Signature) Received by: (Signature) Date/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) Date(Time <br /> Dispatched by: (Signature) Date/Time Received for Laboratory ` Date/Time <br /> Method of Shipment: LN <br /> aam <br /> (r 1 hereby authorize performance of the above Indicated work. <br /> special instructions: <br /> i <br />