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I< Advanced <br /> • CHAIN OF COSTO^ECORD <br /> GeoEnvironmental Inc. Date t-z0eI - Page ,-3,- <br /> 837 Shaw Road - Stockton, California-95215-(209)467-1006 -Fax (209)467-1118 <br /> Cherrt �� �� Prow Manager <br /> Tuts Required <br /> Phone Nu <br /> Sa lers Invo <br /> V <br /> 5 r <br /> AGE <br /> Project Name �yi�.�- � w� ��/ loe <br /> Glern �J <br /> � LI <br /> Sample Location Sample Type DNo of A1Number Description ate Time Comp Grab Air Solid Notes <br /> u.aq vl 13 a <br /> kV3 L3 <br /> U1;;3 Cl „u,i, rQ; 4)6 <br /> Z SLA <br /> all Is a tura Received by (Signature) 0WTI e <br /> \ZU��U <br /> Relinquished by nature) Received by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mtoblte Laboratory for fteid analysis (Signature) Datefrime <br /> Dispatched by (Signature) DatefTIms Rocelvod for LaboratoryFSF Datefrime <br /> r S7 <br /> Method of Shipment /s Laboratory Name � <br /> C1 r <br /> Special Instructions 1� �--t��—���[ 1 h by suthori a tie er rmenee of the above indicated work <br />