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MM MM IM ffffffff� f� <br /> Advanced ! CHAIN OF CUST# RE,-,i,. <br /> GeoEnvironmental, Inc. Date Page Z of <br /> 837 Shaw Road- Stockton, California-95215 - (249)467-1006- Fax (209) 467-1118 <br /> 12.Client Project Manager <br /> Tests Required <br /> Phone Number <br /> 6 <br /> Samp ers (Si nature) Invoice <br /> Project Name AGE <br /> Cjfent� <br /> Sample Location Sample Type / <br /> Number Description Date Time Water Air Solid No Of Conts <br /> Vtakz r2 Z <br /> Notes <br /> Comp Grab �j �/ i <br /> 1 d O X - /4 <br /> A 1:1 L4 —\L-- <br /> etinq hstews y ignature <br /> f) to 'in <br /> Relinquished by {Si Received by (Signature) ! <br /> ICEIt°� � atefT me <br /> Relinquished by (Signature) "PROPRIAT$ <br /> iiEZ 3pACEABSENT t tory for field anaiysis (Signature) DatefTime <br /> DECHLORINATED IN LAB RE5 VBU IN I A$ <br /> Q&G I W-TATAI MOR is], <br /> Dispatched by (Signature) PRESERVAFfON D 1efrime Received for Laboraio DatelTime <br /> L. <br /> Method of Shipment _ Lab 1 Name <br /> �"7 b <br /> Special lnstructi I hereby uthorize the performance the abov indicated work <br /> REED SEALED & INTACT VIA <br />