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�, HAIN OF CUSTOD*ECORD <br /> � Advanced .—lJ�� � Q�� <br /> GeoEnvironmental Inc. <br /> Date� Page � �� <br /> 837 Shaw Road-Stockton, California-95215- (209)467-1006 - Fax (209)467-1118 <br /> Client , Pirpod Manager Tests Required <br /> ! ttiteoe EL5 <br /> wow Ntgn <br /> Tr 6 t —l�P6 <br /> Samplers (Signature) Invoice <br /> AGE <br /> Protect Name /� � Client [71 <br /> Sample Location Date Time WaterSampType Solid No of Notes <br /> Number Description comp crab Air Cords <br /> ti <br /> �'� Ll <br /> � � L �� � <br /> e inquis a gnature) Received y gnatura <br /> ate, <br /> Db <br /> Re1+nq shed by (Signa re) Received by (Signature) ++^^^ Date(Time <br /> Reimqurahed by {S4gnaturej Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature] Data(Trme Received for Laboratorysby D te[Time <br /> 3 �- , (� 3 <br /> Laboratory Name <br /> Method of Shipment C4, <br /> t » <br /> Special Instructions ! hereby authorize the performance of the above Indicated work <br />