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} <br /> Advanced CHAIN OF CUSTODY RECORD <br /> -�- GeoEnvironmental, Inc. c. ®c- Date 6 Page ( oi-1--- <br /> - <br /> 837 Shaw Road- Stockton, California-95215- (209) 467-1006- Fax (209)467-1118 <br /> Client Pra'e nagefi Tests Required <br /> P e Number <br /> r <br /> (p <br /> Sam : (Signature) Invoice: <br /> Project Name AGE ❑ <br /> k!a�', Client <br /> i Sample LocationSample Type � <br /> Number Description Date Time Water Solid N° °t Notes <br /> r <br /> Comp. (arab. Air Conts. i <br /> 7A5/./ /off 73.505 t <br /> 73506--... <br /> :` XJ Y <br /> 73508 <br /> F ! <br /> Helinquisned byjkmpurqwT atefr me <br /> Ade <br /> Relinquished by (RS' eceive -} , D eJTima <br /> -c <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field,analysis. (Signature) DateTrime <br /> Dispatched by: (Signature) Date/Time Received or Laporator byD elTime <br /> XZ7 <br /> I, Method of Shipment: Laboratory N me <br /> r <br /> Special instructions: i hereby ftorize the pefrforman a of the above Indicated work. <br /> I� <br /> A��- <br />