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( Advanced CHAIN OF CUSTODY RECORD <br /> c —�y-0z <br /> GeoEnvironmental, Inc. Date Page Zt Of - <br /> 837 Shaw Road- Stockton, California 95215- (209) 467-1006 - Fax(209)467-1118 <br /> Client " T' S�r e Project Ma age t � I Tests Required <br /> 4 n <br /> Phone Dumber <br /> -201-- N67— lOGG <br /> Samplers (Signature) �Q'� �t. y Invoice. <br /> Project Name ff�1 0 ACP Jg- <br /> Client ED <br /> k � <br /> 5ampla Location Sape <br /> Date Time No of <br /> Number Description Comp Grab Water Air Solid Conts �� Notes <br /> A. <br /> 0 2— <br /> I <br /> el q ( ignat re) ecerve y gnature ' Datefrtme <br /> vis OCG gars 4 /L:oo <br /> ws Si nature Received b PRESERVATION <br /> Y 9 ) y (Signature) DatelTime <br /> HEAD CQNDITION -=--COP�RTOF�- <br /> HEAf3SPACE <br /> Relinquished by (Signature) Received by Mobile Laboratory for field a i�1$.__PUMV$DIN1.AA Date(Time <br /> I r, <br /> Dispatched by (Signature) Date/Ttme Re ei IoCLaborato by Daterrime <br /> 'lam V G 12q I o , (DU <br /> Method of Shipment h aboratory Name ��r <br /> Special instructions I hereby authorize the performance of the above indicated work i <br /> I <br />