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Advanced CHAIN OF CUSTODfRECORD <br /> GeoEnvironmental, Inc. l� Date Page <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467-1006-Fax(209)467-1118 <br /> client Pro ct Manager <br /> L � Tests Required <br /> Ph ne Number <br /> 209 467-1666 <br /> Samplers (Slgnat re) 4 Irnrolce <br /> Project Name e�ASE ' VO � Client� tient 0 <br /> ❑ <br /> Type Typ \� <br /> Sample Location SampleNo of <br /> Number Description Date Time Cam�Vate(r qtr solid Conts Q ''J 63354 <br /> W3- IF 9'39 X I 63355 ' <br /> x+13-�� 1S' 9;f 3 <br /> r <br /> 2s'' I x X X 63356 <br /> ccs <br /> 'H 63357 <br /> eh uT y net e) ]Receivedy ignatu11 Ac IO&GI <br /> �SO�r�0 Lii <br /> Relinquished by [Signature) GOOD C0NDlTION CeAPpROPftlATE <br /> Relinquished by (Signature) R ile LaYoratory for field analysis (Signature) ; <br /> 63359 <br /> Dispatched by (Signature) Date/Time Received tot Laboratory by <br /> c i <br /> Method of Shipment L oratory Name <br /> l�Alr Ou ft1 <br /> Special instructions I he h* PzetlLhe perfo mance of The above indicated work <br /> i <br />