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its fi � � � � � � � � I• I• l• l• l• � <br /> i <br /> j Advanced CHAIN 9F PUSTODY RECORD <br /> GeoEnvironmental, Inc, Date ' �' page _ <br /> 937 Shaw Road-Stockton, California- 95215- (209)467-1006- Fax(209)467-1118 <br /> 06c)3ea <br /> Client Pr ct Manag <br /> C_ Tests Required <br /> Phone Number <br /> Sam lens (Signature) C �' Invoice <br /> Project NameC.- AGE ' <br /> Client [] <br /> Sample Location Sample Type <br /> Number Description Date Time Water Air Solid Cams Notes <br /> Comp Grab <br /> K <br /> �t 26 <br /> ( X Y,�,/' <br /> t2 t 'k <br /> 'Y XXX <br /> nXaed by Gilftw— ece►va y Egnature <br /> 7ut -0 , <br /> DalelTlme <br /> Rehui <br /> qs ed by (Signature) Received by (Signature) Yea J <br /> OalelTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for geld analysis (Signature) Date/Time <br /> Dispatched by (Signature) Date/Time Received for aboratory by i Date/Time <br /> Method of Shipmen Laborat Name <br /> CSL C.4L <br /> Special instructions I hereby ;Aknxe the performanc f the above Indicated work <br /> r <br />