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Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. Date i tzl Page 1 of 07-- <br /> 837 Shaw Road-Stockton, Califomia-95215- (209)457-1008 - Fax(209)487-1118 n 7 - 0 7 <br /> Client Project Manager V <br /> .� i %t� Tests Required <br /> Phone umber <br /> -= <br /> Samplers (Signature) Invoice <br /> Project Namet AGE <br /> - <br /> 4 G 'AAAlA; 1!1/1w-f Client <br /> Sample Location SampleType <br /> Date Time Water Solid No of Notes <br /> Number Description Comp Grab Air Conts .., <br /> �'w 1 0 1WL4 lmyyk e50 PC <br /> A,wz tA&WZ �i 13 e-� Ll 1C <br /> ^M19 Y"LA u138 e c <br /> by wS <br /> OAW� 1h'' >C +C <br /> ww 11 ftW i t I }° x <br /> i�w!nqs( W\VV 1 3 (03 W K <br /> wa y +gnat Received y (Signature) <br /> Daterrime <br /> quashed by (Signature) Received by (Signature) Datelrime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DatofTime <br /> Dispatched by (Signature) Date(Time fiats ve or Laboratory by Date/Ti <br /> ` ! � <br /> Method of Shipment Laboratory N �� <br /> Special lnalruOuris t ��_ ( 1 1 har author+za the performance of above indicated work <br />