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Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. Data ' 7-063 Page of� <br /> 4005 North Wilson Way-Stockton,California-85205-(209)467-1006-Fax(200)467-1118 <br /> Client Project Manager <br /> i irr M ` V1 Tests Required <br /> Phone Number <br /> }coq. q67- <br /> ii Samplers, (Signature '�� Invoice <br /> Project Name t fx/ t` G r'�r: x��' u ;v <br /> N-AGE UQ <br /> Client ❑ <br /> Sample Location <br /> Sample Type No oek " r <br /> Number Description Date Time Water Air Solid Contsf �� Notes <br /> Comp Grab <br /> ��rhOro 32589 E <br /> 51,V6 ' 35 � t 31590 `I <br /> 51,V6 " ` `' �} -7�r� $ = y I X' 32591 <br /> S W6 -60 ci 132592 <br /> `7 32593 <br /> 5W1 _ t - �I <br /> � [ �' �� 32594 <br /> 5 w 7 - 'z ` %: 32595 <br /> Relinquished y onatute ece ve I <br /> y gna urs Date/Time <br /> Relinquished by (Signature) Received by (Signature) Date/Tim; <br /> ei nquished by (Signature) Received by Mobile laboratory for field analysts (Signature) Date/Time <br /> Dispatched by (Signature) fate/Time Received for Laboratory by Date/Time <br /> Method of Shipment 600-11A <br /> a : -1iA Laboratory <br /> Name <br /> $peolal instructions t MEWS � 1, `-totoG <br /> I I <br /> 4RESCRVATIO y t 1 hereby authorize the performance of 1ha above Indicated work <br /> GOOD CONDITIOld,__...M L Y U � <br /> �S <br /> i <br />