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CHAIN OF CUSTODY .,.-.'.'CORD <br /> Advanced <br /> � Date Page _� of <br /> GeoEnvironmental, Inc. � ., <br /> 837 Shaw Road Stockton, California- 95215 - (209 67-1006 - Fax (209) 467-1418 <br /> Project Manager <br /> Client �. t � Tests Required <br /> Phone Number <br /> Sam p rs: ( nature) Invoice: <br /> AGE <br /> Project Name � <br /> ! - Client EDV~ Sample Type F <br /> Sample Location Date Time Water Solid N°' of 9052 <br /> Number Description comp. (crab. Air Corits. _ <br /> 12�-3 - - 90529 <br /> 90530 <br /> z- IV-0z <br /> c 1 I Lv � \ 953 <br /> x <br /> 90532 <br /> z— 90533 <br /> ehnquis�a Y? gnature) Reocilved by: ig 1 tura aterrime <br /> �21I'{e. <br /> Relinquished b : (Signatu a Received by n{Signature) nnrerr.. _ <br /> V0A` c4G f:z-r.".r17, <br /> Relinquished by: (Sign i. ':; -' d lilobilelLaborafpry for Heid analysis: (Signature) 90534 <br /> 4 ', AT Tt <br /> i~ <br /> r n atefl ime-. Received for Laboratory by: <br /> n 1t� �,_r f)at.I'f'ime <br /> Dispatched by. (S-19""64,5 ;,z��rli.+J`..Q i �uFtii .�_t#J,� ;�-{f I� V <br /> Laborato Nam <br /> Method of Shipment: <br /> I hereby su rize th performance of the above indicattd.-�cQrk. <br /> Epactal instructions: � � ��. <br />