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� Advanced <br /> CHAIN OF CUSTODOECORt7 <br /> GeoEnvironmental, Inc. Date �' Pie of <br /> 837 Shaw Road - Stockton California-95215-(209)467 1006- Fax(209)467-1118 _ !0 <br /> Client I. Profect�g� ] Tests Required <br /> Phone Number <br /> Samplers (Signature) Invoice <br /> Project Name /6mF- M IV; AW1, � � � / Ci ent ❑' <br /> f <br /> Sample Location Solid No of f� / Notes <br /> Number Description Date Time Sample Type Water Air Conts / <br /> Comp Grab <br /> t( F <br /> � - It &T- <br /> �� <br /> ATI�I <br /> le <br /> 35 <br /> Fin is e y { nature ece,ve y ,gnatura Daterrim <br /> ee <br /> Rel,nqu,shed by (Signature) Received by (Signature) <br /> aternme <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) Daterf ime Received for Laboratory b YY On�te/Timee <br /> Method of ShipmentLab tory Name <br /> k+ - <br /> Special Instructions I hereby authorize the performance of the above indicated work <br /> t <br />