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...� : >! tl.� ifs .■■. �.. t� ... �. s �� 2.� �. <br /> l <br /> Advanced CHAIN F U TODY RECORD <br /> GeoEnvironmentai, Inc. Date Z3 Pageof <br /> 837 Shaw Road Stockton, California- 95215- (209)467.1006 - Fax (209)467-1118 <br /> Client Tests Manager <br /> Z, Tests Required <br /> one umber <br /> a lers: (S' ature) Irr voice: <br /> Project Name AGE <br /> Client ❑ <br /> Sample 7 e <br /> Sample Location <br /> P Yp <br /> P N o. of <br /> Date Time Water Solid Notes <br /> Number Description Conts. <br /> Comp. Gab. Air <br /> z - z� C <br /> 1 <br /> e inqui a y: igna re) scene y: tgnalute 0 to i <br /> 27 760r) <br /> f <br /> Reiff quished by: ignatur ) Received by: (Signature) at !Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) DatelTime <br /> yr . <br /> Dispatched by: (Signature) Datetrime Received for Laboratory by: DatelTime <br /> Method of Shipment: on, Laboratory V14 T <br /> a <br /> 1� <br /> Special Instructions: I hereby autho ze t e part r nc of the above l dicated work. <br />