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Advanced CHAIN OF CUSTOIOECORD <br /> GeoEnvzronmentab Inc. Date 1 'q 7 Page I ot_-L_ <- <br /> 1803 West March Lane, Suile A-Stockton, California-95207-(209)956-0264-Fax(209)956-0700 g 9 I G a-7 t <br /> ClientProject Manager <br /> D M K e V i vl 1`1 - K i b b i� Tests Required <br /> Phone Number <br /> (2-001) q51 -0;-6 4 <br /> Samplers: (Signature) Invoice: <br /> Project Name r W� , Mnc� r� ,`'G� AGE K <br /> V l� Client ❑ <br /> Sample Location Sample Type No. o <br /> Number Description f <br /> Water a ` <br /> Date Time Solid r <br /> p Comp. Grab. Air ContS, �� t 78001 <br /> E I <br /> P ;.o -�5" 6-,M-q7 9"00 78002 <br /> I <br /> F'W -35 io�o0 r <br /> r, 78o03 <br /> P ;.o - 4 !T <br /> F � a `5� b =tib 78004 <br /> .I <br /> r + <br /> 78005 <br /> 12. yo X 1 <br /> r <br /> 76006 <br /> P ;L1 - � ��' ly � 30 1 X 75007 r <br /> e inquis a y: (Signature) r e y: (Sig, L e <br /> Iy�" r S�QkGIQNc� .�.r- 6`-*T 17�} <br /> v4( � LCsr <br /> Relinquished by: (Signature) ived by: (Sig Lure) DatetTime <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) Date(-rime <br /> Dispatched by: (Signature) Date/Time Received for Laboratory by: Dale/Time <br /> Method of Shipment: Laboratory Name <br /> L 0 V f"VN e 14-f()ue /C,J9(- <br /> Special Instructions; I hereby authorize the performance of the above indicated work. <br /> PH <br /> 9lt'AJ i1�� tY!C��:.� `•_io�.� �-yvt VV`'���/V'f/""� <br /> r+^ <br /> I' •r1 r'nr!+[:APSUIT Co rtl";<�� <br />