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0 <br /> CHAIN OF CUSTO10ECORD <br /> Advanced = <br /> - T GeoEnvironmental, Inc. _ Date Page o <br /> ' -- <br /> 837 Shaw Road - Stockton, California 95215 - (209) 467-1006 Fax(209)467 1118 <br /> Client a� ��� Pro ect Manager r <br /> Tests RegUlfBd <br /> Phone h[Limber / r <br /> Samplers (Signature) r �/ Invoice <br /> �lProject Name r � � � � <br /> Sample Type <br /> Sample Location Date Time Water YP Solid No of �✓'' / /�/ Notes <br /> Description Comp arab Aur Conts <br /> 1z al 5 1 <br /> 12131 <br /> Yd <br /> (i 1ILI(ONDITION APPPOMK <br /> , T <br /> DL{ ILURINAILD IN I-AH FRF-srRrN LA B SEA LED&11 4TACT VIA <br /> VUAS �t1 METALS O 17t <br /> Relinquished ee y (Signature) Received by (Signature) — I Oete/lIrite <br /> Relinquished by (Signature) Received by (Signature) <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (S(gnature) Date(T,me <br /> Dispatched by (Signature) Date(Time Re r Laboratory by pate—rme � <br /> Method of ShipmeRt Labo►ator ame <br /> Spacial lnstiuctons �-�, r " r I hereby authorhe the performance of the above indicated w— <br />