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Advanced CHA;;Fr" <br /> DY RECORD <br /> $9e of <br /> �. Date <br /> GeoEnvironmental, Inc. <br /> 837 Shaw Road-Stockton,California-95215•{209}457-1008-Fax(209)467-1118 <br /> Client � Pr* atlaw TeStS Reclliired <br /> P 14 Nmber <br /> j <br /> Invoice: <br /> ure <br /> ACE LJ/ <br /> Project Name Ciierlt 0 <br /> Sample. Location <br /> SampleType ,� � <br /> No.of Notes <br /> Number Description Date Time Water Air <br /> Saud Cords. <br /> comp. Grab, <br /> Deterri � <br /> e inqurs y: n Received by: ignatute <br /> S <br /> l ilatelTirne <br /> Aelinquis ed by:(Signature) Received by: (Signature) <br /> DatelTirne <br /> Relinquished by: (Signature) Received by Mobile Labotatery for field analysis:(Signature) <br /> DatelTi s <br /> d for Laboratoryby: <br /> Dispatched by.(Signature) Date[Time ileceiva <br /> Method of Shipment: bar Me <br /> Special Insiructions; I hereby authorl the tafmance of 0 above indicated work. <br />