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Advanced CHAIN OF CUSTOD %ECORD <br /> � <br /> -- -_ ; GeoEnvironmental, Inc. Date '7-g 3 Page --2—of <br /> 837 Shaw Road - Stockton, California-95215- (209)467-1006- Fax(209)467-1118 /n <br /> Project Manager <br /> Client 'rte�' �c� — — Q u � I/ Tests Required <br /> Phone Number <br /> 'IC, 7 - iccro- <br /> Samplers (Signature) Involce <br /> �Q AGE � <br /> Project Name r r Client5 r4 6;� "t'� ❑ <br /> 4 <br /> Sample Location <br /> Sample Type <br /> Sam No of Zr � .� <br /> p Date rime Water Solid q '` u Notes <br /> Number DescriptionAir Conts J` <br /> Comp Grab <br /> ID;%t ~I w�l� le 7' C* <br /> (' ra E'l'A� I C" ' ��4/� Y` ��\� X / s/ S <br /> t t � + i <br /> KJ 14 ' I. far _�✓�' ��5� � A/ 1 <br /> TI -71- <br /> e in s e y ( gnat ure ecerva y igna(ure DatalTtme <br /> Re rnquished by (S+gnature) Received by (Signature) DatslTime <br /> Relrnquwshed by (S19nature) Received by Mobile Laboratory for field analysis (Signature) Date(Trme <br /> Dispatched by (Signature) DatelTime Re ed r Laboratory by Dat ime <br /> Method of Shipment .— Le rat 7a, <br /> &� <br /> S acral Instructions i� j 1 hereby uthorize the perform ce of the above Indicated work <br /> Pj a is 1U t D Nta tee. b Oxo Wti� <br />