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arai� w� riri ti rg! ii r� awl t�alnr i ttti■ i ti i i i i i <br /> � fAdvanced <br /> CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. Date 11-05-01 <br /> Page --.I _ at..._._L <br /> 937 Shaw Road-Stockton Californfa-95215- (209) 4137 1 006- Fax (209)487-1118 r <br /> tient W4�cr JW �pa� Project Manager <br /> L, ftle Tests Required <br /> Phone Number <br /> Samplers (Signature) Invoice <br /> raiect Name (y __II ��4'� 0� [J <br /> UJ64erlw Fc�ol1 �` Pe AGE U <br /> r Client ❑ <br /> Sample Location Sam p ype <br /> Number Description Date Time Water Air Solid Contsf f?� Notes <br /> Comp Grab <br /> jAP3] ] 1Q Id f �SS�v X ' �01- <br /> T � <br /> � <br /> AWlel <br /> I � • \ I 1 Y �iLfi rb+ lY� �� <br /> �11dpo� liatd t i X53 X <br /> IlbiGi 1�11p j( X <br /> A low, tizz- <br /> d <br /> 12F s e y Ignature Receivey` rgnature <br /> 3 OatelTrme <br /> rnquished by (Signature] o1} 4 }ii <br /> VIP <br /> Received by (Signature) -- i c1L! <br /> U9,, RatalTrme <br /> linquished by (Signature) <br /> Received by Mobile laboratory for lie 'erg I i5'`�'S r re' -x I1 <br /> datelTrme <br /> .patched by (Signature) DatelTime Receive for laboralor by <br /> ' <br /> Date/Time <br /> thud of Shipment <br /> La ratory kame w I <br /> Ca <br /> 6vcrn,�e !/1�'� rh <br /> eclat Instructions <br /> I hereby out Drize the performance of the above Indicated work <br />