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CHAIN F CUSTODY It D <br /> Fw� Advanced pate 11 Paye or <br /> _ '- GeoEnvironmental, Inc. <br /> 4005 North Wilson Way-Stockton,Calitornia-95245-(209)467-1006-Fax(209)487-1119 <br /> Gffi <br /> Project Manager------ r <br /> ClientZ-1'y / � Vests Required <br /> Phone Number ` <br /> Z01 <br /> Si <br /> Samplers nature Invoice <br /> P (Signature) <br /> AGE Te <br /> Project Name Client ❑ <br /> v <br /> Sample Type <br /> Sample LocationNo of <br /> pate Time Water Solid Nates <br /> Number Descriptioncomp Grab Air <br /> Corps (� �'` <br /> -53 <br /> 15 <br /> �1 1 & <br /> .0'2001 5AM <br /> e nquis a y { ignalure eceive y 9nature TT l]alelTime <br /> Re q441 <br /> uashed by (Signature} Received by (Signalute) at e <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) <br /> Dispatched by (Signature) Dale/Time a Ived for Laborator�bt <br /> V CA AV 114 <br /> Method of ShipmentLaboratory Namel�G r <br /> OLMOI(q4t— <br /> Special instructionsfA&a �42� �•! rf.J� ���j.� E hereby authorize a porfor once of the above Indicated work <br /> CDA}trrW� r n WAS O&G METALS OTHEf <br /> FRESIRVATIOfl <br /> PIVIn EJ L.�Vl ([ t_ i ill fit <br /> coo\"1(1- �� e\,I e A �e ,4 elx 1 t' `�'T v r �,�1. �o� o �3� �uti�1GE sur I V ,i l'tN pi'_-- <br />