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CHAIN OF CUSTODWECORD <br /> Advanced Date q �� Page -'-L of <br /> GeoEnvironmental, Inc, <br /> 837 Shaw Road - Stockton, California-95215-(209)467-1006-Fax(209)467-1118 23 <br /> Client Pr°oct gn—re((f�� Tests Required <br /> Phone Nunkiber <br /> ure IrmaceSampers (SigAGE) <br /> Project Name it� -z� � Y El <br /> Location <br /> Sample Sample Type No of �U <br /> p Date Time Water Solid Notes <br /> Number Description Comp Grab Air - <br /> 14 P3 <br /> C) <br /> l Datelitm <br /> e urs e y lona u eceive y ignature <br /> Datefrime <br /> Relinquished by (Signature) Received by (Signature) <br /> � <br /> Relinquished by (Signature) Received by Mobile Laboratory for held analysis (Signature) <br /> Datelrime <br /> Date/Time ftceivod for Laboretory bLw. Datelrime <br /> Dispatched by (Signature) - Z <br /> �� Lab oto Noma <br /> Method of Shipment Ccvu <br /> t hereby authorize t performs c of the above indicated work <br /> Special instructions � <br />