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-=-I - Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. Date jU page __L O <br /> 837 Shaw Road - Stockton, California 96215- (209)467-1006- Fax (209)467-1118 <br /> Client � Project Manag <br /> .- Tests Required <br /> - Phoneumber Q <br /> e <br /> 7�- Jrs ignature) Irwolce-AGE <br /> _ Protect Name � u � i t l Y Client ❑ <br /> Sampl Type A x <br /> -- <br /> Sample Location pate Time Water Solid �, Noes <br /> Number Description Comp arab Air Conts <br /> A <br /> 06- <br /> TCE/t° <br /> PEAD tWACF ABSEN Co <br /> = DLCll 01RINATED IN LAA <br /> PRIIS1 RVATUM <br /> e tnq t oe tg ur ece ve y gna ure atelTime <br /> i O <br /> Relinqutshe(Tby (Signature) Received by (Signature) DatelTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysts (Signature) Datemme <br /> Dispatched by (Signature) DatelTime Roc for Labe for bye. tat'Time <br /> Method of Shipment Labor to iV11 <br /> -- <br /> Special Instructions I hereby auththo r rmance of the above indicated work <br /> = R=SEALED MAGMf IT/ lEf. , <br />