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e>, � ttttttttt■ � ttttttt� tttttttt■ � f_ � � � I• � � I• <br /> s <br /> ( Advanced CHAIN OF CUSTOD RECORD <br /> GeoEnvironmental, Inc. Dace 0 Page --Lof5 <br /> a <br /> 637 Shaw Road-Stockton, California-95215- (209)467-1006-Fax(209)467-1118 <br /> Client Bob AwrJ4 Project Manager Tests Required <br /> G,I-kOf Fi5 <br /> Phone Nu r <br /> sok 461 —(Lno� <br /> Samplers (Signature) Invoice <br /> 1 <br /> Project Name 1 0- 4 a ��"D` C (�,� f, ,� g�,q AGE <br /> Qir x Chem ❑ <br /> Sample Location Data Sample Ty <br /> Time / <br /> Number Description Water Solid No of �� �' a Nates <br /> Comp (crab Air Conts e` L <br /> (0 ` plI 1 X )d Ta <br /> Ic y- 15 Q If 15' f ZA1 <br /> If Zvi 33 <br /> �kwrD--10 q It 10` a`] I I ( X X <br /> e <br /> e inquis y (signature) ece ve y (signature) 0t [T7!5oz) <br /> Relin uished by (Signature) Received by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for held analysis (Signature} Date/Time <br /> Dispatched by (Signature) Date/Time Received far Laboratory / 7 Date/Tim <br /> Method of Shipment or o Name + ��} <br /> ry <br /> Spectral tnaUuations I hereby authorize the performance of the above indicated work <br />