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CHAIN OF CUSTODY RECORD <br />Date 1.1- 7 -e-1, Page ( <br /> <br />( <br />Advanced <br />GeoEnvironmental, Inc. <br />837 Shaw Road- Stockton. California - 95215 - (209) 467-1006 - Fax (209) 467-1118 <br />Client F46. 1 - <br />. <br />k(0.1 (_'4r <br />Project Manager . <br />TestsRequlred (- <br />Phone Number i / • / <br />aul. -t0 1 Oa. <br />Sampler's (Signature) Invoice <br />Project Name -c-: L 1 <br />••• Coil- , on <br />I ..... vt- . AGE gl <br />Client D <br />Sample Location Sample ype J <br />P. No. of <br />Number Description Date Water Solid 1.4" Notes <br />Comp. Grab_ Air s. <br />5T- I /04 070 Nsk cc,...14,1- -6,--e".-# ‘-t -4-06 i 4-1 1 5 5 <br />ni • diiti...—.-..— --(Signature) Received by: R-elz,ei- -kb Aihrtc-ka Ske-41" <br />Date/Time <br />'7(--- 7-a,/ IL. 3 c' <br />Date/Timm ' uished by: (Signature) Received by: (Signature) -- Art'l•A rS : S C0.1 C' 1" <br />Detail 11110 Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) <br />Dispatched by: (Signature) Daterrime Received for Laboratory by: *) Date/Tire, <br />L) L-I /- hlothad of Shipment: <br />( a I d vli-^ L.,- r <br />La me <br />,.., (r.( yea, <br />Special In$tructions:c„... p+ . <br />-..e I t...- -1;eL L LAJN i-e_ <br />I her* y au h ire ihe performance of the above indicated work <br />"...