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( Advanced CHAIN PF CUSTODY RECORD <br /> GeoEnvironmental, Inc <br /> Date 4l3 Page Of <br /> 837 Shaw Road-Stockton, California-95215-(209)467-1006- Fax (209)467-1118 <br /> Client ��� P� M417-1 <br /> f Tests Required <br /> ane umber <br /> Samp ers (Slgnat e) Invoice <br /> Project Name 4X I AGE �' <br /> �-� Client ❑ <br /> Sample Location Sample Type <br /> Number Description <br /> Date <br /> rime Water Air Solid Copts Notes <br /> Comp (arab <br /> �� 03 4yd // I I )I r <br /> 1e.3 6-7-1 -a-% <br /> 24 7/ -o f©or <br /> M002,6 V67-1 to-07 <br /> a Z7e ( i atur eceive y (signature) <br /> alelTme <br /> Relinquish by (Signature) <br /> Received by (Signature) DatalTtme <br /> Relinquished by (Signature) Received by Mobile Laboratory for herd analysis (Signature) Date/Time <br /> Dispatched by (Signature) Date/Time Received t roto D elTime <br /> Method of Shipment Labor Name <br /> Spatial tnatruofiona I hereby aut fz he per m ce of the above indicated work <br />