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MCI <br /> • CHAIN OF CUSTODY RECORD <br /> ' Advanced <br /> GeoEnvironmental, Inc. Date 1/ b 1-D/ Page _ . oil_ <br /> 837 Shaw Road -Stockton,California- 95215-(209) 467-1006 -Fax(208) 467-1118 <br /> PFej ct Manag i <br /> :tient uL 1 Tests Required <br /> Phone Number <br /> _ Samplers: (Signature) Invoice: <br /> -n AGE <br /> pro act Name Y`��� CAV I�lL ygc-r > Y^l LL 1� ti ( Client <br /> h ti bq <br /> Sample Location Sample Type ( Q <br /> Number Description Date Time Water Air Solid Contsf Notes <br /> Comp. oreb. <br /> (� 1 OhG <br /> -11 ri-a-or B� <br /> 12(5 1� <br /> PRI SERVATIO <br /> GOOD , <br /> HEADSFAC ABSINT_ W TRlPER ( � llf <br /> '11- qu c &lure ace va y: (Signature) !IrAAJPAW J� Date/Tim <br /> c� r <br /> RaRinquilhOd y: (Signature) Received by: (Signature) Dale/T me <br /> Relinquished by: (51griaturel Received by Mobile Laboratory for field analysis: (Signature) Date/time <br /> nlepatched by: (Signature) nate Ime Recs ved for Laboratory by: Daleffime <br /> (0 Mit !!lzlU7 94U1J <br /> Methof Shipment Leborato Name <br /> ;� �v L <br /> special Instructions: 1 hereby authorize the pert rmenne of the above Indicated work. <br />