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I <br />� ( Advanced <br /> CHAIN OF CUSTOD%ECORD <br /> GeoEnvironmental, Inc. Date "'A l-4 L page t of <br /> 837 Shaw Road-Stockton, Caltfortlta-95215- (209) 467-1006- Fax (209)467-1116 f1 2 _ 1 <br /> Client K L le pr Manager Tests Flequffed <br /> E Ti revi.e— t5;L-r— <br /> P <br /> Samplers (Signature) Invoice <br /> � <br /> Project Name �� _ AGE Dd <br /> 7�+ <br /> Client ❑ <br /> SampSample Location 4 Date rime Water Type Solid No of + Notes <br /> Number Description Comp Grab Air Coins <br /> ,Aw-H Lt <br /> e mquws e y nature Received y (Signature) 0 term <br /> ' 'z7 �� <br /> Rehnqurahed by (Signature)- Received by (Signature) Uate/Tr e <br /> Relinquished by (signature) Received by Mobile Laboratory for field analyse (Signature) 4f7T Date(Time <br /> Drapatehed by (Signature} [JatefTlmeReceived for Laboratory Oate[Trme <br /> -&�=L- <br /> f <br /> Method o1 f>hrpmant r L oratory Nems <br /> � I k <br /> Special lnsttuciwns y t hereby authorize the performance of the above indicated work <br />