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Advanced �� r , —C) f' CHAIN F CUSTODY RECORD <br /> GeoEnvironmental, Inc. `C DatePage --L Of <br /> 7 / <br /> 837 Shaw Road- Stockton, California-95215-(209)467-1006- Fax (209)467-1118 <br /> Client E Proleoag r <br /> T Hequtr <br /> P e Nu ber <br /> s B <br /> Sa I ure) Invoice. <br /> Project Name X AGE <br /> ,(" ( Client <br /> X <br /> Sample Location Sample Type ' <br /> Date Time Water Solid No of 1C Notes <br /> Number Description comp (arab Air Conts,aP <br /> (2 PT--5 <br /> 0 16 W4edK A I <br /> APT- IpAr rr / ! <br /> T-,6, 5-0 0 <br /> e is Vy n ure} eceive y ignature <br /> atefTtme <br /> Reit quashed by ignature) Received by (Signature) Dete me <br /> Relinquished by (Signature) Received by Mobile Laboratory for flaid analysis (Signature) Date/Time <br /> 7 <br /> Dispatched by (Signature) Date/Tima Received foraboratory� Daterrime <br /> 7 <br /> 'Ile 4 /9 <br /> rrJ� <br /> Method of Shipment at y Na e <br /> Spec�allaslt�Ctlot►B 1 hereby au hor a the a formance of the above Indicated work <br />