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Advanced CHAIN OF CUSTODAECORD <br /> GeoEnvironmental, Inc. Date Page z of <br /> 837 Shaw Road Stockton, California 95215 - (209)467-1006- Fax (209)467 1118 2 — 0 <br /> Client Project Manager Tests Required <br /> Phone Number <br /> Samplers (Signature) Invoice <br /> AGE <br /> Project Name , 'L Client <br /> Sample Type <br /> Sample Location Date Time Wer Solid No of Notes <br /> at <br /> Number Description Co,np crab Air Conts <br /> e inqui ed by ( ignature eceWe y (Signature) Dat [Ti <br /> Relinquished by ( ignature) Received by (Signature) �� DatelTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) DatelTime Received for Laboiatory W DatelTlme <br /> Method of Shipment Laboratory Name <br /> t� TAS <br /> Special InstructionsI hereby a horire the performance of the above Indicated work <br />