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OPOSSUMS <br /> �.■ ■� a�� ifs � �� fi, � � � � � I� <br /> ( Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. Date Page I- 01 <br /> 637 Shaw Road -Stockton, California-95215-(209)467-1006- Fax (209)467-4118 2 <br /> Client PT <br /> feria er , Tests Required <br /> i Its, G <br /> Phone Number <br /> %7 161% <br /> Samplers (Signature) Invoice <br /> ��'�'� �� �' <br /> Project Name AGE_] <br /> n Client ❑ <br /> Sample Location Date Time Sample Type Solid No of <br /> Number Description Water Air Conts Notes <br /> Comp (crab �r � � <br /> w6- o` 30n 3 MLJSb I `,o1)� I /I —V <br /> 111,146 L0592 76 3 MLJ44 '5 ley <br /> 4J(A)AQS9L7()3 Mw <br /> e i u1shed b gnature Received by (Signature) Da alTime <br /> Relinquished b Si nature .' } <br /> q y l 9 ) Received by (Signature) Date►Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Tims <br /> Dispatched by (Signature) Date[Time Received for Labor ryby ] DatelTime <br /> Method of Shipman Labg#4toyy fit e <br /> Spec►allnsttucttions I hereby uthorize the performance of the above Indicated work <br /> (J <br />