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• ! i <br /> ( Advanced CHAIN OF CUSTODY RECORD <br /> - , GeoEnvironmental, Inc Dat40toPage <br /> I ---- Of <br /> 837 Shaw (load-Stockton, California- 95215- (209)467-1006 - Fax (209) 467-1118 t Q i t <br /> Client hU� �- � Pro ect Manages Tests Required <br /> �one Nwrlber <br /> Sa leis (Signature) !,[/� Invoice <br /> AGEE <br /> Project Name ��� �g� �trt� l Client <br /> Sample Type <br /> Sample Location Date Time SamSamSolid No of N Notes <br /> #Number Description WaterComp crab AirConts <br /> ALA) <br /> JtoutcH K&LJJ ,Ia(cm 32r' <br /> ussq <br /> ML/U <br /> ukk <br /> R Cquis e Received y ignalure Date/Time <br /> �.i, e Ql0(4 l lu LLO <br /> Rehnquished by pgnature) Received by (Signature) <br /> Dale/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) DatelTrme Received for Laboratory by Date/Time <br /> Method of Shipment ( J Z ` C <br /> Laborato Kama �� �� <br /> t <br /> Special Instructions I hereb authorlxe the performance t the above Indicated work <br />