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Advanced RUSH CHAIN Of-- CUSTODY RECOFID <br /> Date <br /> Page of <br /> GeoEn�ironmenutl, Inc. 7 -04,0"L- <br /> 837 Shaw Road Stockton, Callfor'lla- 96215 (209) 467-1008- Fax (209)461-111 a <br /> 04�do 0 <br /> Client <br /> :P- ect M4 or..I 1 1 I , 14�119 <br /> iLL.-En <br /> T&J Tests Required <br /> Phone Number <br /> invoice: <br /> Project Name <br /> AGE <br /> Client <br /> Sample Location Sample- y—Pe <br /> Description Date Time Water Solid No. of <br /> Number —Ginp. r All, Dies <br /> C Cont <br /> 61 <br /> b <br /> -10 <br /> 'k?,2 <br /> -A- <br /> Wlinquis le to Received by: (SIgnatute) <br /> Nwri <br /> nalln -ula—had Cy-IS—Iqn&tuta!---- <br /> Received by 11010114 i-&b0F&l0ly lot field analybis:(8lqa&lu(e) <br /> Uaten Itne <br /> Dispatched by: (Signature) Dalel7lme ocelved or ty <br /> Malhod of ShIpmont: <br /> Special losiouctions: <br /> hereby A-u-thollAo the putiolman <br /> .-Ce 01.11 Indicated *ask. <br /> WIA 1-yz V Li-(xtt cSLe- r jI <br />