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CHAIN! OF CUSTODY RECORD <br /> Advanced <br /> Date �' � - Page of --- . <br /> -� GeoEnvironimental, Inc. may, <br /> 837 Shaw Road-Slockton.California-95215-(209)487-1006 -Fax(209)467.1lt a. CD <br /> m <br /> w <br /> fU <br /> Client Prooct manager Tests Required m <br /> C titM VeAJ06� M <br /> Phone Number m <br /> 20 - X67- 1 004G r M. <br /> Samplers: (Signature) � "� lcnrafce: <br /> C AGE <br /> h <br /> Project Name Y !'� oir�e.t CHM a <br /> SM&TYPe No.of �� dotes <br /> Sample Location Date Time Water � Solid �} <br /> Number DeScri llOt1 r C0411S. <br /> Camp, GFab. #U <br /> (XT 16 o9 16 q f)� x <br /> P 16/56--42. sem I,A bin 56a4Z -Z�f$ 0-73S <br /> 150 <br /> patelTirne <br /> e nqu s e y: eca ve �' r na" <br /> 1 rr <br /> elinquiattedby: {Sig alure] Raaeived by:(SfgM1slure). ` Oata(lime <br /> I'altnao,shed by:{519natura] Received by Moblis LaboraWryfor its Id•nalysls; (Stgnstura) OatelTirns <br /> Uiapalahetl by:t6ianaturo] <br /> Date/Time ce3ved I r beratory by: UatalTlrni <br /> -t <br /> -1 M*1ho4 at Shipment: Te- <br /> aboritory Hama <br /> D �r 1 e c: <br /> r m <br /> Spsolal Instructiany: ` 1 heFeby authorise the peFForrnan4e of the■boVa indicated work_ <br /> (Atr(9 6,ctV toCYN 0M m <br /> m �i_7 �.Ve'� � <br /> r 1 <br />