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Advanced CHAIN OF CUSTODY RECORD <br /> . J <br /> GeoEn vironmental, Inc. Date page of m <br /> `4; J 4005 North Wilson Way•Slodrton,California-95205-(209)467.1006-Fax(209)467-1118 � A X� � c� <br /> t� 7 p0 <br /> Client Project Manager a <br /> Tests Required <br /> a <br /> Phone Number <br /> Samplers:(Signature) f Invoice. <br /> Project Name ` AGE <br /> . - -- Client ❑ z <br /> SampleType o <br /> Sample Location Date Time Water Solid No.01 Notes n <br /> Number Descriptlan Comp. Orab. Nr f",onis, z <br /> .. r �� ✓ BOW <br /> - .. ._ a <br /> M <br /> z <br /> C <br /> w <br /> A <br /> O <br /> z <br /> z <br /> N <br /> P <br /> Ol <br /> J <br /> ® ng a yr,( rgnat r ec va y: atuze Date/1'lme �09 <br /> 10 <br /> —RelinqFjisbed by:(Signature) Allcolved by. (Signature) Dale(Time <br /> elinquished by:{Signature) Received by Mobile Laborakuy lar field analysis:(Signature( DalefTime <br /> Dispatched by:(Signature) DatefTime calved for Labosefory by. Dalefrime <br /> Method of Shipment: � ,rte Laboratory IVarare <br /> s <br /> Special Instructions, r I hereby authorize the perlarmaneo of the above indiaaled work. <br /> I CS MESERVATIC <br /> „ v <br /> GOOD CONDITION-3L APPROPRIATE J <br />