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ws01111111111111111 111111111111111110 1 ti <br /> iAdvanced CHAIN F USTODY RECORD <br /> GeoEnvironmentai, Inc / <br /> Date 3 Page __L___ of <br /> 4005 North Wilson Way-Stockton,California 95205-(209)467-1006-Fax(209)467-1118 <br /> Client Project M ager , V,Kn3 <br /> Tests Required <br /> Phone Number <br /> Sam er ( ature ``r Invoice <br /> Project Name AGE <br /> � ❑ <br /> Sample Location Sample Type Client <br /> Number Description nate Time Water Solid Confsf <br /> Air <br /> Comp Grab Note.R <br /> ft� / // 24751 <br /> f <br /> J 1 24752 r <br /> `=- r <br /> 24753 <br /> 24754 f <br /> I <br /> I <br /> r <br /> i <br /> e inqur ignetur <br /> ecer y MAX: <br /> • 11'41- Date rime <br /> Relinq is a by (Signa re) c ed by (5ignalur <br /> Date/Trme <br /> Relrngwshed by {Signature} Received by Mobile Laboratory for field analysis (Signature) <br /> J� Date/Time ' <br /> Dispatched by (Signature) Dale/Time Received for Laboratory by r <br /> Dale/Tlme <br /> I <br /> Method of Shipment p <br /> Laboratory M m <br /> b <br /> e <br /> Special Insttuctta <br /> 1 hereby autho ze the <br /> PRESEAN pert rmance o1 1 e above Indicated work I <br /> VAiI <br /> GOOD CON0IT1ON APPROPRIATE <br />