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Advanced CHAIN OF CUSTOWECORD <br /> ( ' t <br /> Z7�`� � u Date Page C '� / <br /> GeoEnvironmental, Inc. <br /> 837 Shaw Road -Stockton, California-95215- (209) 467-3006 - Fax(209)467-1118 <br /> Client Protect Manager <br /> r J Tests Required <br /> Phone Number <br /> 2 ao <br /> Samplers (Signat re) Invoice <br /> 1/ a� <br /> Protect Name AGE <br /> Client ❑ <br /> Sample Location Sample Type No of <br /> Number Description Date Time Water Air Solid Conts 1 Nates <br /> Comp Grob <br /> 78$57 --- <br /> i <br /> �zo I d �� 78858 <br /> Y 78859 <br /> VOACS1 QQ METALS 0TH R <br /> C% inn nQW1111ril <br /> PRESER1rATI id <br /> %I JUV <br /> J <br /> �4 D SPACE ABSENT CONTAINER <br /> Relinqu shed rgnature Received by (Signature) Date fine <br /> r� <br /> Aeiinquiahe b gnatur Reoeived by (Signature) <br /> �� T Date/Time <br /> t J! <br /> Relinquished by (S gnature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (signature) ate/T[me Received for La oratory by DatelTime <br /> Method of Ship me Laboratory Name <br /> C 44 <br /> Special instructions t hereby au rize the pe ormance of the above indicated work <br />