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j Advanced CHAIN OF CUSTODY ECORD <br /> GeoEnvironmental, Inc. <br /> Z j doc---- <br /> Date Page of <br /> 837 Shaw Road- Stockton, California 95215 - (209)487-1006 - Fax (209)467-1118 <br /> Client 20-3 Project Manager <br /> Tuts Required <br /> Phone Number <br /> Samplers (Signature) to Invoice <br /> Protect Name � i� �' � r � EAGE� <br /> Client RL <br /> ❑ <br /> Sample Location Sample Type - <br /> Number Description Date Time Water Air Solid Conts / i <br /> Comp (arab No of ! �, ) � �- 86090 <br /> 86091 <br /> 86092 -- <br /> �� 86093 <br /> ►�.; Iz -�-_ $8094 <br /> 86095 <br /> e inqu e y (Signature) Received y (Signature) 1 a l i 3 j L i Date/Tlfna <br /> 12,1111111"A <br /> Relinquished by (Signature) Received by (Signature) D elTlme <br /> -r4 I� <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) Received for Laboratory by Date(Time <br /> Method of Shipment Laboratory Name p} <br /> O t;. a C, <br /> special lastrucuons / PRESERVATION I hereby a orize t e perlormance of the above Indicated work <br /> P1140-t-41JI t;vf V_ Mr P1 <br /> rt ✓/ An <br /> A r <br /> W Ai i� ALF ABSMT— CONTAINERS^ <br />