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s r� two � � i• � ■� � � �■ i• i, � i• � � 1• � <br /> Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. Date 'q3 Pqp of <br /> 937 Shay Fiend-Stockton,Cetifom€e -96215-(209)467-11009 -Fax(2109)467-1118 v <br /> N <br /> CIl$rtttoy Q $ `I[ [ 118 r W <br /> Tests Required <br /> Phoge Num E <br /> b - 0 0 m <br /> Samplers.(Signature) Invoice <br /> Project Name � oqtr--> v I`r 1(Vl. C � — AGE <br /> � <br /> Ckertt <br /> n <br /> Sample Location ample Type � <br /> No.of <br /> Number Description Date l�rne Water Air Solid Cottle NoUs m <br /> Corny Grab M <br /> c <br /> —7-30-63 <br /> V'zw <br /> ..Bn f` .ou a• �.ri�i�iw:o. n..�w�o nr .rl.�u'w-apap� � <br /> /// <br /> Ralinq hod by {Sipneture] Received by (Signature) DateMme N <br /> N <br /> Relinquished by { lgnature] Received by Mob[(*Laboratory Ier 11014 Malys <br /> €e {840naDitr*] Datefrime N <br /> ti <br /> 13 <br /> DiapalcW by (Signature] Date/Time JFkvc41wed for Labwatory by DatelTlme M <br /> _ <br /> / f -. <br /> DMaihod of Shlpmenl Laboratory Name I <br /> vve C's�n' <br /> 5peoial tert►uctlana 1 hereby authorize the performan-ce of 1be above Indicated work <br /> m m <br />