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f Advanced CHAIN OF CUSTODYRECORD <br /> GeoEnvironmentai, Inc. <br /> Date ! 11 ® Page of <br /> �Cia�3i <br /> 4005 North Wilson Way Stockton,California 95205-(209)467-1006 Fax(209)467-1118 <br /> Client Pralect Marfa er <br /> Tests Required <br /> F— <br /> PhonR Number <br /> &7 M06 <br /> Sa (SI natur Invoice. <br /> Protect Name �r r )Ct�a AGE p� <br /> Lt,G�.rGC 1 Client ❑ <br /> Sample Location Sample Type <br /> Number Description Date Time WaterAlr Solid No Con of Notes <br /> Comp Grab <br /> Pyr I�- l 57680 <br /> 57681 <br /> 36 <br /> 57682 <br /> 57683 <br /> 57684 <br /> IO&G MRS to <br /> e tnqur e y i slurs! a not Allil <br /> , D te1TI <br /> Relinquished by ( ognatur ) <br /> ..,� —VU sle me <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysts (Signature) <br /> Data/TI m a <br /> Dispatched by (Signature) oste/Time Received for t_aboralor b1hereby <br /> f <br /> y Date/Time <br /> Method of Shipment 10 -r <br /> Special lnsttuctions } orr a th peffo ante f the above Indicated work <br /> o /0 -,h <br />