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CHAIN F CUSTODY RECORD �k <br /> �., Advanced o Page <br /> Dateof—L-- ,` <br /> GeoEnviroamental,.Inc. <br /> 837 Shaw Road-Stockton,CalHomlg-85215- (209)467-1)06- Fax(209)467-1118 <br /> Project Manager Tests RequW m <br /> Client <br /> "A <br /> Phone Number IDD <br /> m <br /> CkJInvoice; <br /> Samplers: (Signaotute <br /> . / AGE <br /> ,Project Name chem <br /> e4 <br /> Sample Type No. of Nates <br /> Sample oeation Date Time Water- Solid <br /> Numb r Description Comp. arab_ Air Cants. <br /> T7-3 <br /> DaleJliime <br /> a inquis a y: r lure eca vs y: rgna urs V <br /> s <br /> Dati/Tiiin <br /> alinquished by: S nature) Received by:Isignai <br /> QalsfTtme <br /> Relinquished by:{Slgnalurei Raceiyad by Mobile Inieratory lot field analysis:{Sipruuurs) ` <br /> rJate(Ti <br /> Dateffiml ecelvedl for laboratory by: <br /> Ulcpalched by. lSignatuta} �� � � � " <br /> p Labor ry Name `1l <br /> r Method of Sh]Prnent: <br /> eiLwl I hateby authorlx• the perlormanca of the above indicated work. <br /> SpeciallnslfucUons: <br /> t� <br /> S <br />