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49 CHAIN OF CUSTOD%ECORD <br /> � Advanced <br /> GeoEnvironmental, Inc. Date 6al° Page —2—L of � <br /> 837 Shaw Road- Stockton, California-95215- (209)467-1006- Fax(209)467-1118 0 _ <br /> Client �,� , rc�li Prfalect Manager Tests Required <br /> Phone Number <br /> Aft l 604oC <br /> Samplers (Signature) invoice <br /> 'V _ <br /> /17 <br /> Prosect Name � <br /> e rr Client p I J6 ��. <br /> Sample Location Sample Type No of � � ` Notes <br /> p Date Time Water Solid <br /> Number Description comp Grab Air Conts <br /> k; Y '3.,IC ft3 t3 <br /> e nquis e y gnature) Received by (Signature) DaterTime <br /> /ey /t, <br /> elingwshed by (Signature) Received by (Signature) Date/Time <br /> i <br /> Reiinqurshed by (Signature) Received by Mobile Laboratory for field analysis (Signature) DatelTime <br /> Dispatched by (Signature) DaterTime Received for Laboratory bif DatelTime <br /> 1 <br /> Method of Shipment � Labor ry me <br /> r <br /> Special Instructions ,t <br /> 1 hri <br /> ereby authoze the performance of the above indicated work <br /> � � � � <br />