Laserfiche WebLink
Mrd%',-,Sb jfir rGjwi.l~�ry,�6i'SY ,p 4`.r 1� -s J•', ht r tx, ,Y 7 4 s .,,,.� ,� .. r � fn+. h .9`,7f w.. f CLK A� <br /> t' , <br /> x r x'`br� 5. ?qi r1.'.!.c ✓ ;o+ rr ». ,r r " `3, f s:F�C , z.. <br /> s,e rk '� � ,al,,,;C ' <br /> r �� hxr} }�si "twi 4�tT5S rt^J, x y�4 anjYatiayaypri � <br /> €,fix <br /> CHAIN OF CUSTODY REC RD�'�S% <br /> � A�dvanced.; s ,zT� <br /> f � 1 fPage <br /> �r t 1� y z 1�° <br /> � ,': s",W"0 "� �'i y Date L �^ -� <br /> GeoEnvironmental;.Inc. -• ;i �~ � <br /> i'r400S North Wii`son Way Stockton;California-95205-(209)467-1006-Fax(209)467-1118 W :° , r; -'4 rc f W °�A <br /> T,�'W,, <br /> t , Project Manager <br /> uTests Rqz ir,er Vd,S'gy 'Clien <br /> t -�, t �<�F „ , { '� ✓' T 4t h s� ' 4, Phone Number <br /> .�,.,�, �`ss . 'x� <br /> r" y y }4 L'* Tt°• r ` t 3't+rtef1�_1 t 4-' e <br /> � v 'LRrtr <br /> � # yfai. r �,ti ti� ;.}` Samplers {Signature} , `�=�" " Invoice• fes , <br /> �a � ikt ' <br /> K'�t-.,''„ 4� 0�4rii � v -fin}- ,"ri'ti! r+,r.,r� v �a-, ,. >!i , ..r i'� x r Yt iYt� ';'��' 'i✓�+ �q � <br /> �,��.a N§gra r�`✓i6 `�.^r'rt '�+r.r�,�t t�4'r� ��"`� � �1.. <br /> it <br /> C <br /> .xt `ProjeCt Name �I/1�■/' �jJ�¢ Client <br /> k+ � Cwl,+Y'S• }� V' •t F� � r "A dY ��\ �1I '1 � s � � .r'i F�+'.i� <br /> dd €,� l x" ,p-� `ny Sample Type ' t- y �' s <br /> Zs [ 'S Ct F ` y v r '�< 4M r at t <br /> -Sample y�rx�, r mow, Location r x G. No of a K Y _ � j � _ <br /> ry �, r: q ;, ~ i _ [Votes �. � <br /> < Date r Time Solid y ," a <br /> Water <br /> �� Niimber x F De'scnptlon ;'� �y' r° Air Conts ti ;, ? r <br /> -� �i"9::` &"`� i'..--,ir� i.itl0°i` `a3s4 � ", Comp Grab ti s ��,ex <br /> �J�� � �i"� ' `�`�q t ,r, >;�ms's><'a"ra,--��j"°/�f°��'� ",.�_'�.r p �-s � � •,;�.-e �k A. -1,y.r �Tr±� <br /> �� <br /> ^'" =:/�,a , .S h +1','.•", n cr';" 2 <br /> � � ^e k(F.T � 'rf'`+x~ rc , ems`•r cYw�yy <br /> 3i�""s"���y'�i ��'"' ti ��•o�k � rtx'7 �7 >rPa N'�rE'r $+ t ��#" '{ ' , '� i '"i,.i="E e'..��le.�``�iY,�� � �,.�t� <br /> `Q�a•.�" �� �t� ,•,�yk � / / r, "9- <br /> �tet' {� �' �' r 1��� vl Xl� S �, " � ; � •XJ J �`-'� �"�'�' <br /> -1 ti Y w`s. ✓� -. .- t,�6 r=`=rr �L{^=o- ", t'� tK {JIG_,,,, � '�, y�Ss,-:�i��(7��y t.^�txY <br /> ..��'� �'4.ir�,J�•� �� A`ws�'�3���,.� �y'i:' '��4� ki ,h<'.s,tq"",r.r � 4``t3'iyr" :f"a'� � �/ r "t,�z5''s��":r^'�`",��� _ �, `�.� <br /> JT 'R .•� r a(r` K ;k rf�1�a 3F1.,�i rt'FTsae��-.;sw"TM_ <br /> �J/ �xf <br /> r f 3� 1 �.A Z7 J � 'revF ; <br /> s i '� �,d £ rs¢w'' `w if �a•r✓"r i43kr.,i 1$-�� a�i�r.�'vr e v l n �>`"�I ritq� x <br /> e '2$ l r r.rt� 2a >ki r �w: r �+•".�' a r r �� w ,� r 7„ <br /> e' n�- s�e>,..�y gyinat✓.uY,rriC- Received <br /> eV ci eivi.e y;' +a'(signature) <br /> e• ` } fr +e r 7y 3'xr,i.-wHr .'rPtew'/, �e°F.a'r„y -S,,"j?•,r e <br /> ?`x Vn� <br /> ell <br /> i <br /> Re- Lown <br /> 5ignature a -FReceived by (Signature) Datetfl`rt7fl-''y�diY'mm�' <br /> rtn y' <br /> ;Ac. <br /> S <br /> Relinqu she by.{Signature) r { syr, peceived b Mobile Laborato for field anal sis Si nature ;" Date/Time�, �t <br /> Y rY Y � 9 � t. � ,=r-r �5}3zy �� <br /> Y � Z't'1� � 'rk�"�"i � r^'r" s�~�k' y �Lr,P� � � �,3� tF 5t ...K , E _ t. ' r � 'a r�i�` �'T`sa '✓S�S y F�` _ „ [r� '�, <br /> Dispatghed by (Signature)a � + 4 tDatelTime;x, a Received for$Laboratory by ;r,y a h? t ~P tp 3j' w a F ; A' ��DatelTimeg ` <br /> s a 1 .►, �' ¢a � �tiFpw` -' _ 3 'm � �, C <br /> �, 4s r<4E +.... <br /> il M ^ <br /> � ay <br /> Ma�e„t"h` o-dw <br /> of�Ship 'yJiwLwr1.7�Lt+fVr >e,� xlrLaboratory f Nam-e ` ,P <br /> V C° <br /> Special lnatiuclions "� y"�' �' T a n ,� �fh — 't1^J44n �_ -� 1 i hereby authorize the performance of the above Indica ed worir <br /> a+t+ ji z,y_i L , r 4 j 3 ak ,r�F <br /> $ "d"tl��'� <br /> �`=-�..tF"..a'�+-2t�i'tta��t#..��''',�i-w�LG.k?.x�.8�:..�l�r���"al r��r.J.'1nn�i,..�_,=�E,�,r�,,,_," �'i��,rr} :5?•`� 'r ,� . /'� -7.�.,,^�K�,z�C:. {����` f�5�. <br /> $>�Y• 4'',�;"'F"� <br /> �,-9s1t / � s"lTary?Mer v..y� r4 ♦a <br /> v i <br /> � - .l�T'� <br />