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( Advanced CHAIN OF CUSTODY RECORD <br /> GeoEnvironmental, Inc. Date 11-11-01Page 2- of 5 <br /> 837 Shaw Road-Stockton, California-55215-(209)467-1006- Fax (209)467-1118 <br /> ClielttProject Manager {�- Tests R <br /> _ ► n W�-�er C�r �a5� squired <br /> Phone Number <br /> - sol - Liu-? - 100b <br /> Samplers (Signature) Invoice- <br /> Project Name pp 4Z <br /> \ � <br /> U-Ov�C-r Client <br /> Sample Location Date rimeSamp Y� gond No of Notes <br /> Number Description Water Air Conts <br /> comp (arab <br /> fig 1102. 011w <br /> viwla,At I I OL <br /> w76/ortaz <br /> Aelinquish <br /> shed y ignatur acewe y gna4ure Date rims <br /> 1111UZ f 7C1L7 � <br /> by (Signature) Received by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/rime <br /> Dispatched by (Signature) Date/Time Re ivad lo Laboratory ! Date/Time <br /> _ <br /> Method of Shipment Laboratory Name <br /> ����� �� Ca.S�Ie <br /> Special instructions I hereb authorize the performance of the above Indicated work <br />