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CHAIN OF CUSTODRECORD <br /> � Advanced � <br /> GeoEnvironmental, Inc. Date � y �� Page <br /> 837 Shaw Road- Stockton, California- 95215- (209)467 1006- Fax (209) 467-1118 2 <br /> r , P�ect Mana er <br /> Client W'` ��� 14 <br /> Tests Required <br /> 1` l <br /> P one N mber <br /> 7 1/Z7- 140 <br /> Samplers (Signature) Invoice <br /> AGE [k <br /> Project NameSample Type�11 Client E]O ` '1 'TIcJ!✓t- <br /> Sample Location Date Time Water Solid NO of �� � � N Notes <br /> Number Description Comp crab Air Conts <br /> I �A <br /> elinq is e y ign re) ecewe y ignature aterri e <br /> Relinquished by (Signature) Received by (Signature) Daie ime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) Daterfrme Received for Laboratory b Date/Time <br /> Method of Shipment La ory Name <br /> �\ I hereby authorize the performance of the above indicated work <br /> Special Instructions r�l <br />