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41tvanced CHAIN OF CUSTODY RECORD <br /> - 1� b ( of <br /> GeoEnvironmental, Inc. 2��� age <br /> � �ip� Date P <br /> 837 Shaw Road- Stockton.California-95215-(209)467-1006 - Fax (209) 467-1118 I l <br /> :tient 1�024LAA1 M--1Ne� � J44d_Ll,.jt�1� Phi `K ML ag � Tests Required <br /> Phone Number <br /> co - <br /> Samplers: (Signature) t Invoice: <br /> AGE Ad <br /> 'ro eat Name ArtAai r_A*1 y&a t�I`bi'61C-,- f Wt II t(-k� � �l ( Client (J <br /> Sample Type h y q Q <br /> Sample Location Date TimeWater I Solid N . of t Notes <br /> Co <br /> Number Description <br /> rr �/ mp. arab. Air o <br /> - 11 I rot `t C" s. <br /> A!M '(Y'D( �5V <br /> (I-O/-0!11`6" P aI <br /> � <br /> C vi lb`s <br /> �_fd V�"y.^a.. 1 i 13 ,1 1:•� <br /> PR „EAVATIO <br /> Goo — <br /> HEAD SPACI ABSEW—L. iAI iv lb ply e r:rpt I ; <br /> qwa ature Received 1,y: gna un fes. A•,77 aNRim -. <br /> R Iinqul hed y: (Signature) Received by: (Signature) Dateff me <br /> a nquls ed by: S gnelure) Received by Mobile Laboratory for field analysis: (Signature) Date/Time <br /> Dispatched by: (Signature) Data/Time Received for Laboratory y: Dalarrima <br /> Cavo to "Ar /N)v <br /> Meth of Shipmentt Laboratojy Nama <br /> Speclel Instructions; I hereby authorize the pert rmance of the above Indicated work. <br /> Lel S PL D LT F C":—> �L ♦U <br /> l.I <br />