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CD Advanced CHAIN OF CUSTODY RECORD <br /> � �, <br /> GeoEnvironmental, Inc, 6\X nate Page <br /> r�1= J,r- 9 of <br /> CL: `�.�' J 4005 North Wilson Way-Stockton,California-95205-(c09)467-1006-Fax(209)467-1118 <br /> Client w� T' Prgect Manager-� <br /> I f ' egealrec! <br /> Phone Number <br /> Samplers (Signature) Invoice- <br /> Project Name �F.� >!r AGE <br /> Client ❑ <br /> Sample Location Sample Type <br /> �-. Number Descr)ptlon [?ate Time Water Arc Sofid No. <br /> �, <br /> Camp Grab / Notes <br /> 3 <br /> �- 9UOA <br /> 3�2,0-z -� 3 <br /> w_q f f <br /> C) 1q5 <br /> NAV-1 - 2.�- 3 <br /> M. e nquie e+ y Sisnalur ece ve y ( ignature) <br /> D Le <br /> Relinquished by (Sign lure <br /> Received by (Signature) <br /> Rte., it ate/Time <br /> co ffteninquisrsed by Signature) Raceived by Mobile Laboratory for fiald analysis (SIBnalure) <br /> e DaielTnrta <br /> p Dkspatched by (Signature) Dalefrime Receive r Labor ry by <br /> ta/Tr ma <br /> Melhod of Shlpmen4 <br /> co I, Laboratory <br /> V rk r E aboratory Name <br /> rn <br /> Special Instructions <br /> C) 1 hereby authorize the perf rrnance of the abate Indioaled work <br /> • s <br /> � � � � � � tilil� tttttt� ttttttt. r� l_ .■r. t� — — —� — -- — <br />