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I Advanced CHAIN OF CUSTODYi <br /> Z RECORD <br /> Z -IF- <br /> GeoEnv ronmental,'Inc, Date- Page — a <br /> 837 Shaw Road.-.Stockton. California-95215-(209)467-1006, Fax (209)467-1118 <br /> Client 1 � ` Pro'eo anagen Tests Required "I <br /> P,Oone Num r <br /> 1 `-7' K <br /> i `/( Sam lers: (Sign e) //// Invoice: <br /> AdE <br /> Project Name li�( "f t / Client <br /> Sample Location Sample.Type f No.Of Notes Descri tion Date Time Water Solid ( % /J / <br /> p comp. crab. Air CDnts( <br /> lW.i / C j <br /> Lod <br /> LL <br /> '710 <br /> nq�is Y'( Receive y: (Signature) QatorT'me <br /> Relinquished by: (signature) " - Received by: (signature) Datelrime N <br /> O <br /> co <br /> Relinquished by: (Sig,naturel Received b Mobile Laboratd for held analysis;(Signature) Data `n <br /> .. Y Laboratory Y 9 1 � � ... !Time:. <br /> Dispatched by: (Signature) Date/Timo - Receive . 4a atony. Y: atefrime <br /> Method of Shipment: t ^ Laborr2&tme �r <br /> -Special Instructions: �!� .� I I he-rob uttroriie the part 'mance of the aboveindicated work. <br />