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wr�rn� �� � � R� � � t� t� I♦ (� (� � <br /> Advanced CHAIN OF COST RECORD <br /> GeoEnvizonrnentai, Inc. <br /> Date 1-1 7--TC Page of 4— <br /> of Nonhertt Califonnv <br /> 1803 1rWesl PAwch Lana, Suite A-Stockton, California-95247-(209)956-0264-Fax(209)956-070(} <br /> Cberft 1_ DLI <br /> Project Manager Te=Required <br /> Phone Number <br /> Samplers; (Signature) � � Invoice: <br /> AGE= <br /> t Project Marne Gifhf'S 't�, /�{'71� Client <br /> a� Sample Location Sample Type No. of fr i <br /> Gate Time Water Solid _t�:. Motes <br /> Number DescOtion Air Corns. ' <br /> ip P Comp, Grafi. , <br /> x WX <br /> Tq;M <br /> t -,QIV3 k <br /> 7 17 <br /> i <br /> ti . <br /> 11 T-I <br /> w FW-IMIT <br /> eHgqurs ed y: (Signyfure.) <1ecoived 6y, (§gnawro PaleJTimor <br /> r <br /> Relinquished by; (Signature) ROGCIYdd by: (Signa(ure) OatolTime <br /> Retinquished by: (Signature) Focei,xJ by Mobile Laboratory for field analysis: (Signalura) DatefTime <br /> pispatched by: (Signature) Date..Time a ceivad for Labararo oatelTima� <br /> Method of Shipment: � %I Labotarory marne <br /> -- <br /> SSteeia[instructions: I horeby authorize the perlormanes of ;he above indicated work. <br /> j' �y <br />