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I <br /> Advanced CHAIN OF CUSTOE&I ECORD <br /> GeoEnvironmental, Inc. Date Z Page , of <br /> 4005 North Wilson Way Stockton,California-95205-(209)467-1006-Fax(209)467 1118 ' <br /> Client Project Manager <br /> L ;� G f b� Tests Required <br /> �ZPhone Number V <br /> Zo1 4(07 —00(0 �v <br /> Samplers (Signature) Invoice <br /> Project Name <br /> AGE <br /> � Opil <br /> Proppjrite(�. � � lienf <br /> o In <br /> Sample Location Sample Type Solid No of <br /> Comp Grab Number Description Date Time Water Air Conts 23282_ E <br /> 1 <br /> �l1- o 15,01 23283 <br /> 811— 90' <br /> 7 if I5 :5-0 C 23284 <br /> r S <br /> ill -- 15" / q /6 '0 23285 <br /> - <br /> 23286 <br /> 5/Z — 5-5, 5 <br /> 23287 <br /> 51 Z- ,5 D <br /> 613 - W/ rig x` ' 45 2 288 <br /> nquis e y ( nature ign ure �— Daterrime <br /> l <br /> Re urshed by (Signature) ecerve by (Signature) DaterTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Dalefrime <br /> Dispatched by (Signature) Date/Time Received for Laboratory by Dateftime <br /> Method of Shipment r Laboratory Name <br /> % -G —ova-A)r c hey L�dr <br /> Special Instructions II,rCJ{'�..�_ Ll PRESERVATION ON 1 hereby authorize the perfor ante of the above Indicated work <br /> HERO SPACEABSENT CONTAINERS � <br />