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I• i r! = = = M M M M = M lmi l I• <br /> � Advanced <br /> 40 CHAIN OF CUSTOD*ECORD <br /> -_- "- GeoEnvironmentai, Inc. Dare r r 1`1.0 Y Page --L of <br /> -„ I <br /> 837 Shaw Road- Stockton,California- 85215- (209)467-1006- Fax(209) 457-1118 ti 1 — o 7 3� <br /> Client R r, ire-tfJ A olect Manager Tests Required <br /> Phone Number463-7 OV/` <br /> to <br /> Sa lers (Signature) Invoice- <br /> AGE a. <br /> Project D �{�� � �' Clierrt ❑ <br /> Sample Location S Type Solid No of u,v Notes <br /> Number Description Date Time Water Air Conts <br /> Comp drab <br /> i �( a JAW l t31-tq-6f 073u <br /> �&VJ3&064 0760 <br /> e uis e y ig�re) eceava y (Signature) DatelTime <br /> %iiierhquished by (S;gnatufe) Received by (Signature) Datallime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) DatelTime Receiv*d_J6f Laboratory ats/Time <br /> Labor ry am <br /> Method of Shipment <br /> Special Instructions I hereb authorize the performance of the above Indicated work <br />