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rr r lr r r r rr r r �■ rr r r r r r r r � <br /> Advanced CHAIN OF CUSTODNkCORD - <br /> � <br /> GeoEnvironmental, Inc. Dates ) 5 Page of__�__ <br /> r <br /> 837 Shaw Road-Stockton, California-95215 - (209) 467-1006- Fax (209)467-1118 <br /> Client ��-2 Project Manager Tests Required <br /> one Number � <br /> 20') CQ-1~ I CUA -5 <br /> Sa lers: (Signature) Invoice: <br /> AGE <br /> Project Name !!!4 F- �vt, S Client ❑ <br /> Sample-Type Sample Location Date Time Water Solid No. of Notes <br /> Number Description Air Conts. <br /> Comp. Grab. <br /> 4 Cosr3�� 5113)d'� <br /> Jul <br /> =R.b4.DaA. .5heZdby: <br /> Receivedy: gnatura DatelTime <br /> 0-5-n 11 l <br /> S4iU <br /> Received by: (Signature) Date rime <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) DatefTime <br /> Dispatched by: (Signature) Date[Time Received for Laboratory DatelTime <br /> (2, j —lt{ �� eau <br /> Method of Shipment: CtLaWeralory`Name <br /> 1 her authoriz a pe mance f he above indicated work. <br /> Special Instructions: <br /> +rOGC <br />