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-- Advanced CHAIIN OF <br /> CUSTODY�ECORD <br /> -, <br /> GeoEnvl�onmental, Inc. Dater Page ,� ot� <br /> of Nortlt��nt Caltfonuu <br /> 1803 West March Lane,Sude A Stockton, California-95207-(209)956-0264-Fax(209)956-0700 <br /> Client <br /> O 4,Z I' R Project Manager 5o Tests Required <br /> V,";" C e I lop, <br /> Phone Number <br /> - 0 V <br /> Samplers (Signature) Invoice <br /> Project Name ,/� AGE <br /> 7 Client L:] <br /> Sample Location Sample Type No of ' <br /> Number Description <br /> Date Time Water Air Solid Conts Notes <br /> Mp�i r1^� LUQI� � <br /> Comp Grab <br /> IVrW � �✓ , <br /> 91 <br /> 91 <br /> Kelm Is e y (Signature) eceived by ( Ignature) S7�4N D11 R 4 Date/Ttme <br /> /yam 7p p, J —, r <br /> On <br /> Relinquished by (Signature) Received by (Signature) DatetT me <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Dale/Time <br /> Dispatched by (Signature) Date/Time stew d for Labora ory by / COate/Timet <br /> .1-4 'T 6 ti <br /> Method of Shipment Liboratory Name <br /> J <br /> £krvi t j u <br /> Specialplmx <br /> structtons 1 I herebyauthorize the <br /> CCI�� 4 1A9, performance of the above Indicated work <br />