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r_ � � tttttttt� � � t� i• � f• r IBJ U —(_ � ��.U—' U L.ar' i� <br /> Advanced CHAIN OF CUSTODAECORD <br /> `- -, <br /> GeoEnvironmental, Inc. �� �� � Date .L to Page Of <br /> 037 Shaw Road Stookion, California-95215 -(209)467-1006- Fa (209)467-1118 <br /> Client Project Manager <br /> Tests Required <br /> P one Number <br /> r <br /> S le (Signature) Invoice, <br /> Project Name AGE 2'Client ❑ <br /> Sample Location Sample Type <br /> Date Time No of <br /> Number Description Water Air Solid Conts Notes <br /> Comp 4rah <br /> 88125 <br /> 88126 <br /> I F <br /> —__J -T- <br /> an u s e y (Sina ure ece va y (Signature) atelTima <br /> P <br /> 6 ot) <br /> liefinquished y (Signature) Received by (Signature) Datofrime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) oat <br /> a[Tims Rece va or aboratory by Date�rlme <br /> YeA <br /> Method of Shipment5 6t: A^ A— / /Z <br /> Laboratory aura <br /> WA19,AGA A :::Z-// <br /> special Instructions CFO PRESERVATfON I hereby au rise tha performance of the above indicated work <br /> iAPPHUMNAIL &fo - re n2I �z oc trams <br /> A �� U,� <br />