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i • i <br /> # Advanced CHAIN OF USYODY RECQRD <br /> GeoEnvironmental, Inc Date Page of cry <br /> 837 Shaw Road Stockton, California-95215 (209)467-1006 - Fax (209) 467-1118 <br /> Client r Protect lWana6er <br /> t.a.� ', Tests Required=— <br /> Phone NUrriber <br /> S Ear Su� tura)fy� invoice <br /> Project Name + ��J�'�- G-1 AE <br /> Client ❑ <br /> Sample location � SamPe Type <br /> Number Description Date Time _ Water Solid No of � Notes <br /> Comp Grab Air ContS <br /> 11,x,0 t(4 <br /> ort <br /> 41 <br /> _ eFellinq Is a y ( ature) � acer via Ibnalura <br /> ✓ ICF/r / Darl�Ime <br /> �Y <br /> GC'2D CONDITION / �f �� <br /> Relinquished by (Signature) r --•Td7°r' MU <br /> SENT l( � <br /> Received (��Ni 1 T.D IN LAB �i�RESERVEDSrtF LA Datefrlm <br /> Relinquished by (Signature) Received L"48i36/1wtE o fo raid ar aiys sIgna�irie} <br /> OatalTlme <br /> Dispatched by (Signature) Dale/Time <br /> Received for labor&tory by <br /> Da'eJTime <br /> Idfethod of Shipment Laboratory Name <br /> Calc r <br /> Special Instiuctions Irby su hhoriz a peri rma ca of the nbova indicated work <br />