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Advanced CHAIN 9F CUSTODY RECORD <br /> GeoEnvironmental, Inc. 3 °ate Page <br /> z G G, <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467-1006-F"09)467-1118 <br /> Client Project Maner <br /> Tests Required <br /> Ph ne Number <br /> M <br /> Sa : (Si nature) Invoice: <br /> Project Name d� �l . ,/� ( AGE ,8' <br /> Client ❑ <br /> Sample Type <br /> Sample Location Date Time Water Solid No, of Notes <br /> Number Description camp. Grab- Air Conts. <br /> 44218 <br /> t � �. <br /> "ft4w 1 �i� kJ X 44� f9' <br /> V �f >e, k 44220 <br /> T � 44221 � <br /> x Ix <br /> D 46 44222 E <br /> 44223 <br /> Rai nqwy: Ignature) ece ve y: ignatureUatelTime <br /> Relinquished by: (Signature) Received by: (Signature) Date/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis. (Signature) Dat /Time <br /> /L <br /> .y" <br /> t <br /> Dispatphed by: (Signature) Date/Time Received for Laboratoryby: D temme <br /> ., <br /> Method of Shipment: Labor t Nam <br /> Oat ot <br /> Special Instructions: I here au arlYe the erformance of the above indicated work. <br />