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40 <br /> ( Advanced CHAINOF PUSTODY RECORD <br /> GeoEnvironmental, Inc. Date 9 26 b Page of <br /> 4005 North Wilson Way-Stockton,Calif0mia-95205-(209)467-1006-Fax(209)467-111 a <br /> A ( y <br /> Client {l � � P ect Marlqqer <br /> L(L 00i Tuts Required <br /> Phone Number <br /> Samplers (Signature) Invoice, <br /> Protect Name C�l �F, — VA-PJ &I AGE <br /> �7 Client ❑ <br /> Sample location Sample Type <br /> Number Description Date Time Water Air Solid No <br /> � , Notes <br /> Comp Grab i <br /> �( r 4®9fi7 <br /> r1��-r I►�f. s►�ik� �i( T -t� ]( 48968 <br /> V C A P,II ICT;i 5 ()TI#1 R <br /> i <br /> IT,iii `$0fi <br /> :ee <br /> ,g ature ese ve y gnature <br /> -� DatelTeme <br /> nqurshed by (Skgnature} Received by (Signature) <br /> Date/Time <br /> Relinquished by (signature) Received by Mobile Laboratory for field analysis (Signature) AS- i AT <br /> [7atelTkme <br /> Dispatched by (Signature) Date/Time Received for Laboratory <br /> r ) �� Date/Time <br /> Method of Shipment �J Lab r to ame <br /> PAL Nr U I � � r• 1� <br /> Specla)Instructions ° <br /> rjJ r it �'� 1 hereby uthorrze th parlor ance of the above Indicated work <br /> �f ViSTf�iY r <br /> t` i"tiw 'R it <br /> r' I I1 <br />