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(� Advanced CHAIN PF CUSTODY RECORD <br /> Iucpatel�� page —L OrJ- <br /> --GeoEnvironmental, <br /> 837 Shaw Road - Stockton, California-95215-(209) 467 1006- Fax (209)467-1118 <br /> Client AProleqtman ag f <br /> Tests Required <br /> P 08 Number u <br /> IAN-VO Teamsi� <br /> IE. Client <br /> Invoice <br /> AGS <br /> Project Name 'i <br /> Client ❑ <br /> Sample Location Sample Type Soli— No of ' <br /> Number Description Date urte Water <br /> Comp Grab Alf ContS l� Nates <br /> _ 3 QT iP27 c t < <br /> ++ 5 <br /> e inquis �( � ture ecerve y ignatureate/Time <br /> Retinquis d by (Signature) Received by (Signature) f Date/Tima <br /> Relinquished by (Signature) Received by Mobite Laboratory for field analysis (Signature) 9 Dale rime <br /> Dispatched by (Signature) DatetTime Rat v evLaboratory bYy l `f?ale/Time <br /> Method of Shipment � Laboratory Norm <br /> Ulf <br /> Special I slructions j f' I hereby ut rize the formance of the above Indicated work <br /> N,G �' E�� <br />