|
� � e � � � � � � � r � � � � � i� � t• i;
<br /> CHAIN OF CUSTODY: CORD
<br /> ��r �4�f Advanced' 7 9�
<br /> Date •} , ' ;��::K•;:� � >
<br /> Page� �
<br /> wGeoEnwironmental, Inc.
<br /> 4005 North Wdson.Way-Stockton,California-95205-(209)467-1006-Fax(209)467-11181'
<br /> Client „ F.• �� �? �i Project Manager
<br /> r 'b r3r „> Tests Req
<br /> ktiuired
<br /> .. , I f ,
<br /> i
<br /> Phone Number.-!' '
<br /> ` { #I
<br /> !
<br /> S", S �.Irlvolf✓�e.
<br /> Samplers'!(Signature) r'
<br /> 1 f k4 'V .
<br /> ■A.
<br /> 1,r4)e4l'NRIllelb -s F - Yff�Y" _2 f,r ,.f � 'fl *3.Lf E 'I�
<br /> C+�ient
<br /> ;Sam le'ry#
<br /> Sample Type',,.
<br /> p 'ti , Location ,.,.,
<br /> Date Time' Water'7'' Solid No. of `
<br /> Numbers Y � r� �fDBSCrlptiotlComp.' arab. k Air Conts.
<br /> •/�'/�,}-�i f{ 'e� ��i i� G ,�{k �.},�� 7 ��7/'�� j� 7, � ' /
<br /> shy ;vim �- - �+�� � ��se -' � J % • l :jf t� e:���,;���;t;NnL -
<br /> dy-::r, 1
<br /> ' -.�TY f� �Ib'L�i k!x �LtY. �.-_fi� _ .. .. , - r 1k - .,r,, N; �l .�J-:.,�,•,
<br /> "'3ti "* i•���� ppj c { t ,Ff�;ai R - ..4 r 'Ar f'^ /� � �..+��
<br /> 1r t':r7r dJip �Li }! � 3.� , �- a � IL' '^`+'�:.e�f�A' w•
<br /> ti. xx h�,. -,rt�t f .h_ "yPk1' S l •1, .f
<br /> 1y��& , 1C,:.
<br /> rr, k ; i
<br /> i1 1 i'
<br /> ~ ler 11'.fe l! 'kf�,.. fj.. .1 .F }r ' , 1 ,�t41[ 4:' S{J' .. r •� k Lr I
<br /> e fin wa y �gn tuts ,;i y natur ` q t // ��� ` Date rime =�
<br /> � f f•�'L`�•''„U �x ��i�f�s�Y,l?�,�:ff' ti
<br /> i .�.r ..tip Y{'4 t1.Yr„atl-u��7r�ev()y•�.' x if_7r #��z2,`�4�' r r ,r• tyJD!-'e�lqe�`qjIm
<br /> �eRelinqushR bSign,
<br /> Rehn waked b Si nature ] Date/Time
<br /> gq4J�(�Y41 9,, )�i '�- -7. _ _ Received by AAoblla Laboratory for liald analysts SSfgnaiure)-� s+
<br /> r�iff ,'Er ry�lk.tij?s{.h� Y.l``.'an' ;.t .r 4 fir..,�.t�,.rss�'l�'� jr 't FJ,e'g' k
<br /> t r. ,9. a• M�.n,
<br /> Dispatched by (Signature)s^'+5 _ A:.'.Dale t r Y 5 Rece ved! r laboratory y Date/Time
<br /> -
<br /> 7 r � �r''h"��rl ..� �� s- 4 �• ., - k-,.r-.:. .`fir n �',F��'�S "k v sxsk
<br /> Method of Shipme k I" p . =Y` j a ^ Labo�raatory N a
<br /> (f DAI
<br /> C,
<br /> Special Instructions `�-`'i'' ' �'' °'" ' 1;3 ir7i; 1 hereby author za the performance of the above lndlcated work.
<br /> i
<br />
|