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� _ CHAIN 4F CUSTOD CORD <br /> Advanced u2 <br /> ( kD <br /> Date��c� Page ot� <br /> V- - <br /> GeoEnvi�ronmental, Inc. �20 �Cx-' <br /> 837 Shaw Road- Stockton, California-85215 - (209) 7-1046 - Fax (209) 467-11 IS <br /> ClientAP o)ect Manager <br /> tvt ur,� � ,— Tests Required <br /> Phone Number <br /> Cr 72- �l q�o -74 7 <br /> b Samplers JSignatu <br /> r Invoice <br /> NrCIEW <br /> 1e PJ � � (� AGIwProtect Name �P-p 'ca._ ` Client <br /> Sample Location Solid Sample Type No of Notes <br /> Number Description pate Time Water Air Conts <br /> Comp Grab <br /> VW V'V' Vi'gwr("W JV'Ea— 04cii, I� -p ID <br /> IEEE <br /> —Reint q Sigtl&1 e)- eceive y Signature) ate Ime <br /> 2-�V <br /> Relinquished by (Ssgnalure) Received by (Signature) 6'2- <br /> D telTlme <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) � r DatelTlme <br /> Dispatched b (Signature) <br /> DetelTrme er ed for Laboratory by d DetafTime <br /> P Y ( <br /> Method o1 Shipment, Laboratory Name. <br /> �?670 � <br /> pool I I Istruotsons I hereby authorize the pe rmahce of thq above indicated work <br /> � <br /> 1 <br />