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�•■ tttttttttt� tlllllll� jjjjjjjjjj� jjjjjjjjj� 1=1 _ _ <br /> CHAIN OF CUSTODY CORD <br /> Advanced c <br /> GeoEnvironmental, Inc. a 1Gt� , t��, Date Page of4 <br /> 4005 North Wilson Way-Stockton,California 95205-(209)467-1006-Fax(209)467-1118 <br /> Client I �Y u L f �n C� Project Manager Tests Required <br /> Oqq5 Phone Number q6 7f Oki/ <br /> ( <br /> Samplers (Signature) � t+ Invoice <br /> Project Name \� /� / � �- c � '���� °�- AGE <br /> Client ❑ <br /> Sample Location Sample Type <br /> Number Description Date Time Water Air Solid Co sf �� Notes <br /> Comp Grab i 94209 <br /> V 1 94290 <br /> k '� ,'-5 11 -2- 5'�d 7C 3� ,� ,( r 94291 i <br /> 6 1 � -Z 5 -- �� ���(� 3v494 292 <br /> 7 _ 25---FY 94293 � <br /> LSP i <br /> shed y ( ignaturej Heivady (Signal Tel ry Date(rtme <br /> Relinquished b (Signature) ,ved bl l5 <br /> 9 Y Received by (Signature) �f Ppl>rt�u� PI�S�+iYr,liUiV /Time <br /> Relinquished b (Signature) !� "(h ,li 4Y�rT� � MO ZE <br /> q Y ( 9 ) Received by Moble Laboratory For field analysis (Signature) rr it I�r � Fir•iT� � lii��f� ` �.ii - !Time <br /> SPACE AB�dT_\,,:f—IVi <br /> Dispatched by (Signature) Date/Time Received for Laboratory by Date rime <br /> Method of Shipment l � aboratory Name / nn } <br /> C cY�V r o MCL u fw, J <br /> Special Instructions f� t hereby authorize the perlorma ce of the above indicated work <br /> 1"I") <br />