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CHAIN OF CUSTOCOECORD <br /> ( Advanced owe t2l�.(� Page � Of � <br /> GeoEnvironmenta�, Inc. <br /> $37 Shaw Hoed-Stockton, California-85215-(209)467-1006-Fax(208)4$7-1118 <br /> Client CjWVI i � T Pr%h4pr Tests Required <br /> P -zoc7 7 " (C)OC49, <br /> Samplers (SI ure �' ri lrTmoe <br /> � <br /> Protect Name ��,. j �i`` `� �� AGECent ❑ <br /> Sample Location Date Time WaterSample Type Solid No of N �� Notes <br /> Number Description comp crab Air Cms <br /> i <br /> � tri � }�•��� �� <br /> I4'n <br /> XXXXI r <br /> - <br /> iqws r azure eceive y gna;ura f)etel7im7 <br /> quished b Sig ure) Received by (Signature) Daterrime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Datefrime <br /> Dispatched by (5ionature) 0ateftime Received for Laboratory by J Datafrime <br /> - 1 2 `1 t_J; . <br /> Method of Shipmenty e m q <br /> �� Laba:ato a <br /> veyl �,/ L <br /> Special Instructions I hereby authorize th erformance of the above Indicated work <br /> �v <br />