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��� �.�.. � tttttttfw Iifffffffffffffl i� l� I• � � !� � � � � <br /> CHAIN OF CUSTODYWCORD <br /> Advanced <br /> GeoEnvironmental Inc. _ � Date Page -2, of .7 <br /> 4005 North Wiison Way-Stockton,Califorriia-95205 (209)4671006-Fax(209)467-1118 <br /> Client Project Manager <br /> Tests Required <br /> Phone Number y <br /> Samplers (Signature) ! Invoice <br /> Project Name (, AGE <br /> x/to /%'w /14411l Client ❑ <br /> Sample Type <br /> Sample Location <br /> Number Description Date Time Comp <br /> mWaterNates <br /> Grab Air Solid Conts <br /> t <br /> "'x'617 3 % 71976 i <br /> 71,,.E 71977 <br /> p <br /> 71,ilw asp 71978 <br /> 4 <br /> F <br /> A M14)Yfa-7o y " dsY 71979 <br /> `W 719130 <br />� �I��.�"/a�� ' ► � 7 t zf�" � 71981 <br /> siin is e y ignatire eceive y igrtature Date/Time ` <br /> Relinqutshe y Signature) Received by (Signature) VU 4 a to HE R " Da rTlme <br /> PRESERVATION � S7, ; - A <br /> Relinquished by (Signature) COOD C04'.,7 5WqJyfid by YffRGpRM(Wry for lie alysis (Slgnatura) Date/Time <br /> HEAD SPACE BSENJ CONTAINERA � r <br /> Dispatched by (Signature) DateMme Received for Laboratory by Date/Tirne <br /> ��-N <br /> i c� <br /> Method of Shiprne a oratory Name <br /> Special Instructions f I herebyaute t ize <br /> �e performance of the above indicated work <br />