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E � <br /> W <br /> rt' <br /> ( L Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental' Date f Page Inc. I <br /> _.� 0 <br /> 4005 North Wilson Way-Stockton,Callfomla 95205-(209)467-1006-Fax(209)467-1418 47 <br /> Cr <br /> Client Manager <br /> Tests Required <br /> n <br /> Phone WMber � <br /> F_ <br /> ff <br /> M <br /> S le . { atur invoice: <br /> TS <br /> 3ct Name 1 AGE <br /> Client ❑ <br /> Sample Typeampffa Location No. of <br /> Number Description Date Time Watf?r Air Solid Conts, Notes <br /> Comp, arab. <br /> -- 26440 <br /> + <br /> -, 26441 <br /> 26442 N <br /> . a <br /> ,D <br /> 0 <br /> to <br /> mq i �by. <br /> ---------- TF Oate(Tlmgnature) Received by: (Signature) l]atefTims Co <br /> Co <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analyais: (Signature) DatafTima y, <br /> Dispatched by: (Signature) DatotTime Received for aboratory y: Date/Time <br /> Method 61 Shipment: labor for Nam <br /> ICER PRESERVATION!!T6 eo <br /> Special Instructions: UNUMUN APPROPRIATE , / 2heralbytho za1 or ormance of the above Indicated work, N <br /> MEAD P <br /> -__._ <br />