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� ei aeew� �� � tt� i tttttttttttt# tib i♦ i♦ <br /> { Advancers <br /> CHAIN OF CUSTOARECORD <br /> Date,Z 30103 Page _L_— of <br /> GeoEnvironmental, Inc. 03)2� <br /> 637 Shaw Road Stockton, California- 95215 - (209) 467 1006 - Fax (209) 467-1118 <br /> Client �� A �ec �,.,��� ProtectT <br /> anager <br /> �� C f Tests Required <br /> hone N ber <br /> Samplers (Signature) Invoice <br /> Project Name / o _ `— <br /> t � AGE <br /> coI/AVS > CAD �, UC1< �&S 7 fl Client ❑ <br /> Sample Location Sample Type <br /> Number Description Date 1 lme Water Air Solid Con Cons <br /> Notes <br /> Comp Grab <br /> 'WZ'4'."3ao3 AAW 2- izl3t &Z0- <br /> .�Z t( AW 'S X55 <br /> kW6 / Ak�\) <br /> iL� 7 I AAW <br /> AW <br /> Relinquished y ( rgn<� Received y (Signature) <br /> a1s17i e <br /> �'4 3Z 17 <br /> Relinquished by (Signature) Received by (Signature) DalefTrme <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date[Trme <br /> Dispatched by (Signature) Datel7ime Rece ed T ,Laboratory by Dal ime <br /> a/3"7.3 g.3C) <br /> Method of Shipment Labors Name <br /> ` V <br /> Special tnstruetions �t � `l i hereby authorize the performance of the above Indicated work <br /> HEAD SPACE ABSENT � <br /> DECHWRINATEDWN LNTAIhfEfsS <br /> RESER'VEll <br /> AS METALS j OVIER <br /> PRESERYA't:717H �- I <br />