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CHAIN OF CUSTO IRE <br /> ( Advanced CORD <br /> - GeoEnvironmental, Inc. Date L 0 7-04 Page -3— of <br /> J" <br /> 837 Shaw Road- Stockton, California-95215-(209)487-1008 -Fax (209)487-1118 O <br /> Client - Pr ect Manager <br /> Tests Required i <br /> Phone Number <br /> Samplers (Signatu e) �1 !1� Invoice <br /> Project Name \"Jes, 1 LR ^v AGE <br /> V Client <br /> Sample Location Sample TypeDateTime No of ,� � <br /> Number Description Water Air Solid Coats Notes <br /> Comp ab <br /> Gr <br /> -AL <br /> e mgws e y ("gig lure _ eee ve y rgnalure <br /> :12 _ Dat/a/TZ/:L,)Retrn uis e i n T �- `��T <br /> 4 Y 9 Received by (Signature) �- <br /> Date ime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date(Time <br /> Dispatched by (Signature) Data/Time ved for Laboratory by Date(TI e <br /> Recei <br /> Method of Shipment ) nn Labor ory dame <br /> Special Instructions i hereby author a the performance of the above indicated work <br /> I <br />