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Advanced CHAIN OF CUSTO&WECORD <br /> ,,. <br /> GeoEnvironmental, Inc. Date j Page <br /> . :40D5 North Wgson Way-Stockton Callfomla-95206- 209 467.1006-Fax 209 467-1118 <br /> ► 13-WD' xA C c# 025.9 <br /> Client M�; •b 4 a project Manager Tests Required _`0..2.5 9 4s <br /> Cor i[�1� <br /> Phone-Number b° �Z J.9.5_� <br /> A6-4- a X025961 <br /> Samplers: (Signature) " moo` ,�` �c Irn+` l <br /> Project Name +11 '' Q v �R AGE Ja <br /> t~►r.. . S �.r �. S Client ❑ <br /> ' r <br /> Sample _ Location Date Time Sample Type olid No.of 4 ` " Notes 0 <br /> Number Description - Water -Air Conts. e <br /> 6D <br /> comp. Grob. 1 �/ 1/ <br /> f/ 1810 7, I slue-k- V_ g, x 7ti Iti[ •, r , ��rri/1 <br /> Sb-I- Il•o' 1n14 K X Sg-i-IS.S ` tofq K ,� N•1 ..L}rrtr qJ� ettl ..q <br /> 1-Zt.o� laza <br /> 5 -t-zt.S" A===Xz _ _-�. <br /> X <br /> 103o K Y1_ V, --02598 <br /> SP- <br /> +' X X X X 6 <br /> e+nqu s e y g elute Received y: 77/1 <br /> to ate Imp <br /> t'2 e b <br /> K, C1-1 `? K�•r1 TAT <br /> Aellnquiihe .by: (SlgnalureJ Received by: (Signature) D slums <br /> VOASIO&GIMETALSIOTHM <br /> lmrhev <br /> Relinquished by:(5 gnalure) ile La rel for II Id analysis:(Signature) DalalTlms <br /> 60DCONDITI0N AP <br /> Dispatched by:(signature) t+l NTAINEdaa Received or Laboratory by: DalslTlme <br /> Method bf Shipment: Laboralor+Name <br /> • I hereb aulhotize the e <br /> rl manoe e1 the above Indicated work:r <br /> 5geciellnetrucllons: }7! y + � y p ,. <br /> i I•�y'it- R11�"h Coa(,4Lr. a <br /> r <br /> s a <br />