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CHAIN OF CUSTODORECORD <br /> ( Advanced <br /> GeoEnvironmental, Inc. Date tti �z �� Page at <br /> 837 Shaw Road - Stockton, California- 95215- (209)467-1006 - Fax (209)467-1118 I 09 <br /> ClientProject Manager <br /> IR Tests Required <br /> P one N ber <br /> S piers (Signature) f + Invoice <br /> Project Name AGE <br /> ' � Client Q <br /> Sample Location Date Time Sample TypeWater Solid No of Notes <br /> Number Description Comp Grab Air Conts <br /> 1 �I' 7 z r� <br /> u j WL( <br /> in urs e y lure) starve y rgnature) Date/Trme1, <br /> L <br /> fished by (Signature) Received by (Signature) Date/Trma <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date(Trme <br /> t L l <br /> Dispatched by (Signature) Date/Trme Received for Laboratory by Date/Time <br /> Method of Shipment Labor ams <br /> Special Instructions V, r ( I h y aut orize the pe tormance of t e a e indicated work <br />