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Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnv;ronmental, Inc. pate Z z- Page 1 of� <br /> 837 Shaw Road Stockton, California-95215- (209)467-1006 - Fax(209)467-1118 I Y <br /> Client <br /> �'I C % fd Pro ect ana er Tests Required <br /> aLiv� �N <br /> Phone Number <br /> -7 d v r? <br /> Samplers (Signature) (nvofce <br /> Project Name 60y �' C GE ❑ <br /> Sample Type <br /> Sample Location Gate Time No of <br /> Number Description CompV ecreb Air Solid <br /> Cants <br /> qws a ignature) ece ve y ignature Date/Time <br /> Itl,v /L <br /> "ITelinquished by (Signature) Received by (Signature) DatelTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) DatelTime Received for Laboratory by 3 Datefrime <br /> Method of Shipment /! } Lab o o ame <br /> eC�L'L <br /> Special Instructions AI hereby thorixe She performance of the Bova in work <br /> /v G <br />