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Advanced CHAIN OF CUSTODY HECORDP <br /> GeoEnvironmental, Inc. Date o2cd .Page ­2of <br /> 837 Shaw Road- Stockton, California-95216 - (209) 467-1006 - Fax (209) 467-1118 0 9 <br /> Client -23t�Sbkf Prol�c a ag <br /> y, Tests Required <br /> ej <br /> Phone Number <br /> Samplers: (Sigp* Invoice: <br /> Project NameU �� AGE <br /> Client <br /> Sampito n Location Sample Type <br /> — No. <br /> Number Description Date Time Water I Air Solid C.o <br /> of nts. Notes <br /> camp. Grab. <br /> ot-D <br /> 13 fo K <br /> 46t L.4 <br /> B nq s a lure) Aecelvaa y <br /> Y. Z- <br /> Rel1n4ul--s1N*4"y: <br /> Received by: (Signature) Data line <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (9ion.1illo) Dwe/Thna <br /> Dispatched by: (Signature) Date/Tima Aacaivad for LabollOry bye Dala/Tlrna <br /> Method of Shipment: Laboratory Name <br /> Ajop,v lao <br /> Special instructions: I ha(uby authorize; the perlofmap" f the above Indicolad work. <br />