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M MOM M M M M M Mo <br /> CHAIN OF CUSTODfCORD <br /> Advanced f <br /> nmental Inc, Date Page of <br /> GeoEnviro , <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467.1006-Fax(209)467-1118 <br /> Client <br /> ProipcigMa74s Required <br /> �c r <br /> Phone Number <br /> Samplers. (Signature) Invoice: <br /> AGE <br /> Project Name Client ❑ <br /> Sample Type <br /> Sample Location Date Time Water Solid No, of Notes <br /> Number Description comp. crab. Air Conts. <br /> 18005 <br /> GlJ fx 0a h 18006 <br /> a vi !D 1c 18007 <br /> k'a � __ 18008 <br /> o 7 tr Z 18009 <br /> Uj { ' 33 �'' 18010 <br /> lio <br /> e �nqut a y: ignatur ec ive y: ignature g�` (g9 Date(fime <br /> DaterTime <br /> Relinqu shed by: (Signature) Received by: (Signature) <br /> ! DatelTime <br /> relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) <br /> Dispatched by: (Signature) Date/Time Received for Laboratory by: DatelTime <br /> Laborato y N e <br /> Method of Shipment: <br /> i _JI J': '71 <br /> Special Instructions: I hereby authorize the pe ormance of the above indicated work. <br /> LVATION (, <br /> GO00 CONDITI <br /> HEAA SPACE ABSENT VCOKAIhl RS <br />