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r r r rr r rr rr r �i■ rr rr r r �r rr rr rr r <br /> CHAIN OF CUSTODY RECORD <br /> Advanced Date 026 2, Page Of <br /> ---_ GeoEnvironmental, Inc ILI_ <br /> 837 Shaw Road- Stockton, California 95215 (209) 467-1006- Fax (209)467 1116 <br /> / Pro . Manager Tests Required <br /> Dent A11 <br /> Phone Number <br /> SCS 496VE., <br /> Sampiers (Signature) Invoice <br /> r y AGE N-d <br /> �, <br />� rt�ieci Name �jd�AL Client <br /> 1" t�--r�� _ 1_� -�.� A � U - <br /> Sarnpir:Type � y <br /> S <br /> ample Location Solid No of 9083 1 � <br /> Date Time Water <br /> Description Gomp Grab Alf Cants <br /> bLD 90832 <br /> -Z _ 90833 t <br /> 33 <br /> 12-V <br /> r 90834 <br /> ,j - 76 b' <br /> ��. ,7 S'r x <br /> i <br /> -7S' 12 � I rk 90835 <br /> Received y lgrtalure [) tellln�e <br /> gals a >,? <br /> a Inqutshed by ( Received by (5ignalure) atnrri... <br /> eitnglnshad by (Signature) Received by Mobile Laboratory fol field analysts (Signalura) 9083`. <br /> Date/71rrte Flecerved for l aboralory by <br /> 'tspalched by (Signature) pale/Tia:�d <br /> i — LaLoratory barna <br /> lett,od of Shipment <br /> n r j <br /> tpecpai I hereby aurAarlce the performance of the above lnlc <br /> dlcatad wnr <br /> inst►ucttons <br />