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�Onc.• <br /> Advanced �0��9� CHAT O CUSTODY CORD <br /> Date Page GeoEnvironmenta , <br /> 837 Shaw Road- Stockton, California-95215-(209)467-1006- Fax (209)467-1118 <br /> ClientAVP&4L ��r,5�7- L Prot an ler Tests Required <br /> F-,!5 Z P <br /> one Number Q <br /> am (Si ure) Invoice <br /> AGE E] <br /> Project Name Client Q� <br /> o <br /> Sample Type <br /> Sample Location Date Time Water Solid No of Notes <br /> Number Description Grab Air Cents <br /> Comp <br /> owe-ao <br /> oa 3 <br />� oaY <br /> � 2q res <br /> elinq he y (SiLure} ecewe y (Signature) D tefTime <br /> Relinquishe by (Signatur Received by (Signalute) Datefrime <br /> Relinquished by (Signature) Received by Mobde Laboratory for field analysis (Signature) Dale(Time <br /> Dispatched by (Signature) Daterfine Received for Laboratory by Datefrime <br /> YWIL, 20Y <br /> Method of Shipment L ate Name 4 <br /> tkt <br /> Special Instr cho tada I hereby authorize the perform 31Ace of the above Indicated work <br /> A& 4-n 41".504 A <br /> {'7 <br /> co <br />