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7-7 7 7 <br /> --------- --------- ------- <br /> Advanced CHAIN.OF CUSTOL----r-tECORD <br /> e --L <br /> GeoEnvironmental, Inc. DateZIJCI5 Pageof--(— <br /> ...... 837 Shaw Road- Stockton, California- 95215 - (209)467-1006- Fax (209)467-1118 <br /> Client. L-Jet Cr Tro'e7ct Manager <br /> o Tests Required <br /> LY7 l�c <br /> Samplers: (Signature) l Irwoice: <br /> AGE W <br /> Project Name Client E] <br /> Sample Type <br /> Sample Location Date Time Water Solid No. of Notes <br /> Number Description Air Conts, <br /> Corn <br /> q <br /> 41 X <br /> LWI-l MILD <br /> 41-1 -5/ <br /> RelinAutished lby- gn e DalarTlme <br /> 1 <br /> 3�-, <br /> , (Sig <br /> DateIT;,,,e <br /> Relinquished by: (Sig atWe) A Received by: (Signature) <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analy3is-, T.(Signature) 4r Dalefrime <br /> 14 <br /> Dispatched by: (Signature) Date./Time Received for Laboratory by-. DateM <br /> Pk <br /> Method of Shipment: Likbora7Name <br /> 1 a <br /> Special Instructions: I hereby authorize the performance of the above indicated work. <br />