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Advanced CHAIN OF CUSTOD&CORD <br /> GeoEnviromnentai, Inc. Date 7-?? Page --2— of� <br /> =" of Norfhent Califonua <br /> 1803 West March Lane, Suite A-Stockton, California 95207 (209)955-0264-Fax(209)956.0700 XA iE-a76' <br /> Client 5Ta <br /> f% Project Manager (.,a- <br /> C G �r If L, <br /> Tests Required <br /> Phone Number ZJ a <br /> Samplers (Signature) Invoice <br /> Project Name L tAwwlx�� <br /> Client [il, <br /> Sample Location Sample TypeDate Time Water Solid Na of Notes <br /> Number DescriptionDate <br /> crab Air Conts <br /> rf/1^1- I rpt'►'? T` �p�� (�q �j,�J ( Vdkr com dI f l <br /> T 24 <br /> I - i <br /> v, F r ,_^� 'I � <br /> Irr r �`�.�I...�,I-„��r� I <br /> 78182 <br /> i <br /> Relin peay ( rgnat r Date/time <br /> e) eceiva y (Siigna 4�� �l { te f <br /> t / <br /> Relinquished by (Signature) Received by (Signature) Daterrrme <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) Date/time Received for Laboratory by DatelTime <br /> Method of Shipment Laboratory N <br /> k D(/eVA � <br /> Special Instructions 1 hereby authorize thef performance of the above indicated work <br /> UJ" 1 <br />