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- Advanced CHAIN OF CUSTODOECORD <br /> --_- GeoEnvironmental, Inc. Date , �N o 3 Page [ of 2_ <br /> 837 Shaw Road Stockton, California-95215-(209)467-1008 - Fax (209)467 1118 <br /> Client S�e&V3 �-- �1-�1��l c to Project Manager <br /> Tests Required <br /> P ane N r <br /> Samplers (Signature) ' = Invoice <br /> Project Name it- ,�t-++ i_- � .- � '�'€ <br /> V"l��utl Tf. k, '�� 5 i,�c'S ~� 0Client El <br /> Location Sample Type <br /> Number Descrt tion Date Time Water Salid No of . f� Notes <br /> p Comp Grab Stir Conts <br /> InD �� Z Zq+r✓3 <br /> I _ <br /> 33 <br /> �RelRFquFs e y i net e ecelva y ignatura- — ate[Xko- <br /> Dat 1 zc C��Relinquished by (Signature) Received by (Signature) Ime <br /> Relinquished by (Signature) Received by Molrlle Laboratory for field analysis (Signature) Dateffime <br /> Dlspalched by (Signature) aatelTlme Roca e 1 Laboratory by - D e[Time <br /> Method of Shipment ��+ ircfr'alory Name <br /> n CCA 00el" 'c i RECD SEALED &INTACT M � 11 tl@►'n! �l�e�( <br /> Special instructions �y r &' I hereby authorize the performance of the above lndfcated work <br /> bF <br /> HEAD SPACE 413SI NT � CON WN RS <br /> D17CHLOR[NATEU IN LAB <br /> _;:7-_PRf S$RVlrl]INLAT3 -� <br /> Q&G METALS I fYP13Elt — <br /> PR[ Sf RVA'EIDN <br />