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� Advanced <br /> CHAIN OF CUSTODYWCORD <br /> GeoEnvironmental, Inc. 15 �) Date a Z. Page of } <br /> 837 Shaw Road- Stockton, California-95215 - (209) 467-1006 - Fax (209) 467-1118 <br /> Client Project Manager <br /> 7-1 <br /> -- L Tests Required <br /> Phone Number <br /> zzr <br /> Samplers (Signature) Invoice <br /> Project Name r�- J <br /> AGE <br /> Client ❑ <br /> Sample Type Sample Location No of <br /> Date Time Notes <br /> Number Description CompUat Web <br /> Air Solid Cants �' <br /> � <br /> naw?-/02 J ro 2- a /2 3 90805 <br /> ?-/ 0—L ,�� ga s 4' 90e06 <br /> V'W Y6 <br /> tFit_J aro C3Z , - 4- 90807 <br /> -�- 90908 <br /> Re,nqu y tg urae e ve y gt <br /> naure <br /> r Date/Time <br /> � a aJ�c�a. <br /> flailshed by (SVnature, Received b (Signature)Y i g ) /� �.. Date rime <br /> WAS I f I MITAIS QVII <br /> Relinquished by (Sign" PRr� � a b bile aborat ry lar field analysis (Signature) DaloITlme <br /> t fir!^A <br /> Dispatched by (Signat ts) r —"'� t sr / atemme Received or aboratory by DaSaJT3me <br /> 1 � D s?ACS r� s� �T✓ ec,�� ��as._----- <br /> Method of Shipment laboralar <br /> Special instlucuans I hereby authoriz l a performa ce o the above Ind aced work <br /> 1 �4 <br /> V63- C-) t3 L! r 1 <br />