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Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvlronmental, Inc. Date 01-m 3` Page Z—of <br /> 837 Shaw Road- Stockton, California- 95215- (209)467-1006-l=ax(209) 467-1118 <br /> Client ` j Project Manager i 1 / <br /> 1�A+j Df---K '1+ Project Required <br /> Phone Number <br /> Z a cl q o O IR d 9b <br /> Samplers (Signature) D ti ,,� Q p Invoice <br /> Project Name <br /> AGF,, <br /> �(3 Client ❑ <br /> ® v � <br /> Sample location Sample Type No of <br /> Number Description Cate Time WateC Air Solid Conts �� ` t Notes <br /> Comp Grab <br /> Moi► or•;r5 It�EJ M W t i BRASS <br /> Mita) C) L 55 + 9 ;34 <br /> !� /f / r f/ <br /> avi) 0 " b5 t 1 r 0 Lee-'t X(. <br /> vji ci 7n / r /0 70 reef" B5Cr C . <br /> I/f. <br /> S ec�- eSG ` <br /> W1 p r t 0 BSC `-1 5 <br /> ,i // /t it C <br /> /I <br /> It It b5 2'e" 8�G / ; <br /> elinquis e y ( ignature He,e ve y rgnature -r ,4 Daterrims <br /> Relinquished (Si ure) 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 Laborato byt, I Date/time <br /> GOV V tRO <br /> Method of Shipment Q aboratory Heme <br /> Q C Lrccg <br /> Special Instructions 1 hereby authorize the performance of the above Indicated work <br />