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( Advanced CHAIN OF C <br /> USTODRECORD <br /> GeoEn�ironmental, Inc Date,A-3-D-6(0 . Page Jof <br /> — � <br /> ~" 837 Straw Road- Stockton, California-95215-(208)467-1006- Fax (209)467-1118 <br /> ClientPro�ect manager . <br /> �,, *, 0 I <br /> &A,1— Tests Required <br /> Phone Number <br /> '461-1 <br /> Samplers (Signature) Irwol!ce <br /> AGE <br /> Project Name i 1 2 Client ❑ <br /> 4 <br /> Sample Location Date Time Wam le Type Solid No of '�� " Notes <br /> Number DescriptionComp Grab Air Corns <br /> ' ru z+ aa- cv2 l2 (s,t bsg -3fy- CYn 10 <br /> MW i Z- }o t( {p` 65 C*1{5- XYl <br /> Www j2-JS 11 !S` bSn' 0`t t� a1 <br /> MW I Z-16 11 1c){ bsS <br /> MW11-Z! if 2S4 bsg 3o ►° 5 <br /> f4u\�12 - 34L--� <br /> mtva _ �D Y X <br /> e in ups e y ( ign urey eceive y ignatura Date rime <br /> 1' {-Qc {fs�l> ' <br /> linquEshed b ignature) Received by (Signature) DatelT�me � <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Date/Tame Receixod for bor by� DeteTTime <br /> Dispatched by (Signature) <br /> kill <br /> boratory Name 1 <br /> Method of Shipment ` � Cql 1'ed' <br /> LthI i.j�l VQ.r+t,i t� <br /> I hereby authorize the performance of the above indicated work <br /> Speciat instructions CDF <br />