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itw. itritiw i tttttftftw w w w w w w f� ilk w w w ■�� <br /> CHAINOF ACUSTODECORD <br /> Advanced <br /> GeoEnvironmental, Inc. Date Page of� <br /> +„ 837 Shaw Road - Stockton, California 95215- (209)467-1006- Fax 209 467-1118 <br /> Client Project�Manager 'bests Required <br /> P pine Number <br /> -) �7 � <br /> Sa ers signjure) Invoice <br /> Project Name ,}� U AGE, <br /> �! �G Client E]Sample Type <br /> Sample Location Date Time Solid No of Notes <br /> Comp Grab <br /> Number Description Water Air Conts <br /> d � � <br /> eiinq is e y ( R <br /> re) Receivedy (Signature) DatelTime <br /> Relinquished by (Signature) Received by (Signature) T-TatelTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysts (Signature) Date/Time <br /> Dispatched by (Signature) Date/Time Received(or Laboratory by DatelTime <br /> Method of Shipment LaboraAl I Ke��E <br /> t me <br /> Special Instructions I hereby adze ha performance of the above indicated work <br />