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( Advanced CHAIN PFUSTODY RECORD <br /> GeoEnvlronmental, Inc. [�a��3y(p Date Page of� <br /> 837 Shaw Road - Stockton, California- 95215-(209)467-1006 Fax (209) 467-1118 <br /> Client Project Manager <br /> s <br /> u. le 4 Tests Required <br /> Phoma Nl�mber <br /> Samples (Signature) Invoice <br /> Project Name sf!16L�V�- <br /> � AGE <br /> Client ❑ <br /> Sample Location Date Time Sample Type Solid No of <br /> Number Description Water <br /> Comp Grab Air Cants Nates <br /> AlZrP' <br /> JVA N L nose <br /> G001 CONDITI N_Se AP RO IA <br /> 1JECI0RUNAT DINLAE <br /> e[in i e gn ure ece ve y rgna ure Dat !Time <br /> /Oy <br /> Relinquished by {Signature) Received by (Signature) baterrims <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) _ DatelTime <br /> Dispatched by (Signature) DaletTime acei a for Laboratory b " stemme <br /> Method of Shipment Laboraf6ty R me <br /> ue <br /> Special instructions i hereby a orize the a ormance o the above indicated work <br />