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r a■r �■■ �■r r r r r r <br /> ( Advanced <br /> CHAIN OF CUSTODOECORD <br /> GeoEnvironmental, Inc. <br /> I �lU c� Date / �a ci Page f ofi <br /> B37 Shaw Road - Stockton, California 85215 -(209)467-1006- Fax (209)467-1118 <br /> Client Project Manager <br /> / tes <br /> r e.C 6 t squired <br /> Phone Number <br /> Samplers- (Signature) Invoice: <br /> Project Name , <br /> AGE . <br /> Client ❑ <br /> Sample Location <br /> Sample Type <br /> Date Time No. of <br /> Number Description water Air Solid Conts. 89330 <br /> Comp. Drab. <br /> .89331 <br /> 89332 <br /> 77�U cOi3'G3G�� o , 17 F­4 89333 <br /> i Ice) <br /> 89334 <br /> 07 r3 -� <br /> 89335 <br /> e rnq a y: gnature) Received y: (Signature) <br /> rUatel l lino <br /> Rel ulshed Si nature y �i Ile,n�, <br /> Received by: {Signatu ,t;�,r , ,i{ �"' �� � � Dale Ime <br /> Relinquished by: (Signature) f.-c- { jf f El~aboratory for field analysis: (Signature) Date/Time <br /> Dispatched by: (Signature) ale Received for Laboratory ate/Time <br /> Method of Shipment: abaratory Nam <br /> r C_ y fyti ' Z C <br /> Spectat instructions: I hereby authorize the performance of the above Indicated work. <br />