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Advanced CHAIN OF CUSTODY ORD; <br /> Date Page --I— of <br /> --- "� GeoEnvironmental, Inc. <br /> !„ 4005 North Wilson Way-Stockton,California-95205-(209)467-1006-Fax(209)467-1118 <br /> �1/� <br /> Client vi L Project Manager'~ �a r4lisc&- Tests Required <br /> Number447 <br /> b ���0� O <br /> Samplers; (Signature) 10 ti Invoice. <br /> b c`I AGE,' <br /> Protect Name 0. Client ❑ <br /> Sample Type <br /> Sample Location No of Date Time Water Solid Ik Notes <br /> Number Description Comp arab Air Conts, <br /> �P— SffckP; f e _ 3-1643��G s� <br /> yJ k samok �Qrr <br /> f X Cx >c10to e OID <br /> 2 <br /> -Relinguished ignsture eie nature 7ateTime <br /> , <br /> Date/time <br /> Rgjinquished by (Signature) Re c ved_b ( 3- f7 14 natur } `�l y <br /> �[ 7 <br /> Relinquishby ignature} Received by Mobile Laboratory for field analysis (Signature) Detefrime <br /> l <br /> Dispatched by (Signature) DatelTime Received for Laboratory by DatelTime <br /> Laboratory Name <br /> Method of Shipment <br /> I hereby authorize the performance of the above indicated work <br /> Special Instructions <br />