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l Advanced CHAIN OF CUSTODY*RECORD <br /> GeoEnvironmental, Inc �� g a �� Date J/3 Page --� of , ! <br /> 837 Shaw Road - Stockton, California- 95215 -(209)467-1006- Fax (209) 467-1118 <br /> Client pro ect Manager <br /> � ,Tests Required <br /> P one umber <br /> C <br /> Co <br /> Sa ers (Signature) Invoice <br /> Project Name ?� �' AGE <br /> t— X Client ❑ <br /> Sample LocationSample Type No of \, <br /> Number Description Date Time Water Air Solid <br /> Comp Grab Conts 4- 89342 <br /> filiv //30/02. k- . $9343 <br /> At <br /> 0 rd Z 89344 k) 7 <br /> a 89345 <br /> 1 <br /> a rl <br /> 89346 <br /> YJ <br /> el,nqurs y r net re [§ce e y gnature i <br /> Relrn(furshed by (Signature)V Received by (Srgnalure) r-• rr,-- <br /> 7 <br /> Relinquished by (Signature) Received by Wbiie Laboratory for field analyeta (Signature) 89347 <br /> Drapatched by (Signature) Date/Time Received lar Laboratory by <br /> 89348 <br /> Method of Shipment II ar Ry oratory HePk- <br /> e <br /> Special instructions Jnr„1[ � _ r r ti 'l eby uthortxe a pert rmance of the above Indicated work <br /> API E <br /> h"EAD SPA(l 0)")'f iv l Cl 1771 a'I'' <br /> r-A og> (P("1 --.1-- t'1 KFC' A- V , n r 1 i r KA <br />