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Advanced • CHAIN OF CUSTODOECORD <br /> --z7- <br /> GeoEnvironmental, Inc. Date 3 Page / of <br /> of Northem Califontra <br /> 1603 West March Lane Suite A Stockton, California 95207-(209)956-0264 Fax(209)956-0700 A a 1 f q <br /> Client r— Project Manager <br /> Tests Required <br /> Phone Number <br /> Samplers (Signature) .� Invoice <br /> AGE [� <br /> Project Name �t �C, �^ Client ❑ <br /> Sample Type <br /> Sample Location V No of <br /> Date Time Water Solid Notes <br /> Number Description Comp Grab Air Conts : t <br /> f 74833 <br /> c+� lel�� ! -z � 7 3��`� �� �= �- � � � <br /> t 4834 <br /> ` �1 �' :�- �- 'E 74836 r <br /> t 4836 <br /> � rav ,/ 74837 <br /> 7-1 <br /> einqu351 rgnaluro) y it /Tim <br /> 77u,�;gnat 3., eZt�-e�� �/,�a� 7e <br /> u,, /0. 3Q Ul+ i /"'T r�� J�t <br /> Relinquished by (Signature) , c ved by (Signa re) DatelTlnte <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DatelTrme <br /> Dispatched by (Signature) Date/Time Received for Laboratory by Date[Time <br /> Method of Ship nyrraX zltr � _ � � � Laboratory Name <br /> C (�if/J] /��) 1 <br /> Special Instructions i hereby authorize he performance of the above indicated work <br /> i <br /> ITT <br /> CDD CQNDITIO <br /> I'''D SPA ABSENT CONITIMS_ <br />