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w �r� ri r_ >• ■�■ f� 1_ � fly fl• � fl• � � �� � <br /> Advanced CHAI�N1 F CUSTODY RECORD <br /> Date `t Page of 2 <br /> GeoEnvironmental, Inc.� `7 t 7,aC git dcc <br /> 837 Shaw Road- Stockton,California-95215-(209) 467-1006 ax(209)467-1118 <br /> Client Prosect Ma ager <br /> �. 1—y , LQq&- I <br /> Tests Required <br /> Ph N tuber <br /> Sam rsr (St nature) Invoice, <br /> Project Name �-�r AGE <br /> i .� <br /> M� V Pla� Client ❑t U v� �l � <br /> Sample Location Sample TypeDateTime Solid No of Notes <br /> Number Description Water Air Conts l l <br /> Comp Grab <br /> -0256 _ <br /> v�a 525 2__ <br /> I IL <br /> +-W 3kq-w-ay M10 <br /> 04W�//&V'l 7 6-5-2 6-0-- <br /> k a -__.5.5269 .- --- <br /> i{ <br /> a-d 65262 <br /> -Ewn (Signature) <br /> e �A y <br /> Ren ua ( ignature) <br /> Received by (Signature) Date/Tims <br /> Relinquished by (S gnalure) Received by Mobile Laboratory for field analysis (Signature) Dale/Time <br /> Dispatched by (Signature) Dete/Time 199colvid for Laboratory by telTlme <br /> Method of Shipment Ulfbora or Nem �^ <br /> 7J <br /> Special Instructions VOAS ASS rf�preby tho ize the erforma a of the above Indicated work <br /> MEW �1lSt <br /> GOOD coNaTiaia . aPaIATi;�•► - t <br /> {ir�l r�r?�r� r'.--r7 nAllTAle lazl_R <br />