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• CHAIN OF CUSTODMECORD <br /> XL Advanced Z Iz� <br /> JW <br /> CT:7-4 <br /> GeoEnvironmental, Inc. Z) -2agate PagQ � � <br /> 837 Shaw Road-Stockton California-95215 - (209)467 1006- Fax(209)467-1118 <br /> Client44�-ovv, Pr°"riag r Tests Required <br /> P one Num <br /> Samplers (Signature !f / Invorce <br /> AGES <br /> Project IN <br /> amej �> / Client <br /> U <br /> Sample Type <br /> Sample Location No of <br /> Date Time Water Solid / Notes <br /> Number Description comp Grab Air Cor11s <br /> 0b,ccr.orrrON ✓ AMJ�rt51ACEABSENT CONTIN LAD RECD SEAL 13 11RACT V'kOAR 0&0 MBTER <br /> euiere Receivedy ure gnatDatafrime <br /> Relinquishe by (Si a e) Received by (Signature) OatefTlme <br /> 1 <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) I GatafTlme <br /> Dispatched by (Signator®) Date/Tima /ecjgivee!d for ratorit+� tefTlme <br /> Labor• <br /> Method of Shipment - <br /> 111111Lt�'f14�kx <br /> I hereby authorize th per marc of tha above indleateo worle <br /> Special Instructions <br />