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• <br /> I <br /> ' Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. 2 �'(,Qh �� Date / " 02--6( Page of <br /> 837 Shaw Road- Stockton, California-95215- (209) 487-1000- Fax (209)487-1118 <br /> Client Avt- ,�Rlu., �vutl�tlt�y (�� � Pro' Manag r <br /> -AUL a ,TS•oh� Tests Required <br /> Phone Nurn r N- <br /> �� f-13C.✓cE� <br /> Samplers: (Signature Invoice: <br /> n <br /> Project Name K1�t rcQ4rr�j �4a�� ` {�lU-�.r>� �^ AGF " <br /> Client ❑ <br /> Sample Location Sample Type (� <br /> Number Description Date Time Water Air Solid No. of , Notes <br /> Comp. arab. <br /> f041(u. 2 <br /> X31 ' 6 •a I 1 - T"-&tv- 3 D <br /> -ITF <br /> 1 y <br /> u s n Qnquire) Received y: (signature) <br /> �- 1 — n .T ' 77 Dets/TI e / <br /> ReBnqu s e y. attws• Received by: (Signature) -- <br /> Dale Irne <br /> VARPI Mf t! <br /> Relinquished y: (S gnature ecai ab to a for field analysis: (Slpnalure) Date(rhna <br /> rip PR�SERV �1ON <br /> Dispatched by:(91 a ,�I HIM _ } - Data/Time 1� Qp,f d-/aeyal ed for Lab lot <br /> J G D to Ima O - <br /> Method o/9hipmant: rQ�,r lYlt Jr <br /> is Lebonlory Name <br /> Cnon �U G LC <br /> Speolal Inetruadona: _ 1 herob sulhorize the <br /> Mk t (.� t � !) l t 1 L L Gti l� ( 9 L7 Yi f—ll��/Y �y 2 Iforinend of the above Indicated work. <br /> P t. _ ._ _- .. -.f a--r 1 r _f- n ,.r .1 <br />