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i <br /> Advanced <br /> CHAIN OF CUSTORRECORD <br /> cps; <br /> GeoEnvironmental, Inc. Dace 7- 31'03 Page �Of <br /> 837 Shaw Road- Stockton, California-95215-(209)467-1006- Fax (209)467-1118 ` <br /> ClientPr Manager <br /> n,;� 7-1/4 <br /> `4 /t, <br /> /d L Tests Required <br /> Phone Number <br /> 410 1,6 <br /> Sampl a (Signature) Invoice <br /> AGE [3e— <br /> Pro)ectNameQIP 1 Client ❑ <br /> 10 <br /> Sample Location Sample Typepate Time Water Solid No of � Notes <br /> Number Description comp Grab Air Coats 3_ <br /> I <br /> f � MLkN14.016/ <br /> 017 <br /> / <br /> t A <br /> e uis a ignature Received y ignaturs Daterrime <br /> 61-.6L- (a ,gam <br /> anquished by (Signature) 47 Received by (Signature) Date/Tlme <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DateTTime <br /> Dispatched by (Signature) Date/Time Received for Laboratory by� Date/Time <br /> Method of Shipment Laborato Nam4 <br /> Special lnalrucdons I hereb uttroNza the performance of the above Indicated work <br /> .4 <br />