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ldvanced <br /> CHAIN OF CUSTODY WORD <br /> GeoEn vironmental, lnc � � � � �� pate 01-z 3M L 2_Page of <br /> 837 Shaer Fioad - Stockton California-95215 - (209)467-1006 - Fax (209)k -1118 � <br /> ;hentP -a f�� W 14 <br /> Project Manager Tests Required <br /> _W In r ( 4K J L t- <br /> Phone Number <br /> — Samplers (Signature) ��, invoice <br /> 'roiect Name til �( �� + � � ' �Q� <br /> Client El <br /> Sample Location Date Time Sample Type Solid Notes <br /> Number Description Water <br /> comp (arab Air oats ��C'� <br /> FI•►eo4 i t , 1r ?ro �I � ' �, $8845 ✓ <br /> K," 88848 <br /> r V t✓1 r~ s, r� <br /> 111 l: .A v h5r IN(, a E FF��e=,fi '+/ y ' � ' � .L n � 88847 <br /> a — <br /> 1 M, <br /> _ <br /> Pi r+ r ir <br /> F � <br /> e,nquis e y gnature) ace vs y (Signature) Oate/Time <br /> J_,1_1..pL r �rl <br /> 9alinqu e e (S &lure) Received by (Signature) Date/Tims <br /> 3etinqu shed by (Signalure) Received by Mobile Laboratory for field analysis (Signature) Date/Time � <br /> Dispatched by (Signature) Dala[Time e d for Laboratoryly Date/Time <br /> I r J� , I \/�_ 1 14 (�'J CA,- <br /> 4elhod of Shipment ' Laboratory Name <br /> Spacial in$Iructlons �} I I hereby authorize the performance of the Above Indicated work <br />