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( Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnviron mental, Inc, aate23Y Pap of . <br /> 837 Shaw Road-Stockton.Calkfnmia- 96216- (249)467-1006-Fax(209)467-1118 <br /> Client P er m <br /> Tests FlequW <br /> F' Nu <br /> A <br /> Samplers. ( ignature) Invoice' <br /> Project Name � � �r4 <br /> AGEF Client <br /> Sample <br /> Sample Type <br /> LocationSample <br /> of � <br /> Number Description Date Time Water Ali Solid Corns hues <br /> comp Grab Ill <br /> n <br /> L5 t( _)?d )--;0-63 T1 <br /> ! tf 03 �( <br /> 7-30.0 �q 3 <br /> t <br /> EY <br /> y <br /> Rall uirhed by iSlpnature) <br /> Received by (Signelrria) UateRime lave <br /> Relinquished by t5lpnaturof Received by Mobile Lebaretory for fiafd■nmlysis (Signalum) <br /> oattlrime <br /> epalched by (Signaluro) Oatelrrma Received 10F Laboratory by �1 pa;'moi me 'D <br /> Method of Shipment laboratory No 0&V � <br /> flpacul Irtetruolwns I he authorlas the petlormonee of t above Indicated work <br />