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ITf 07 <br /> CHAIN OF CUSTO�ECORD <br /> Advanced <br /> Date page of <br /> GeoEnvironmental, Inc. <br /> ~' 837 Shaw Road- Stockton, California-95215- (209)487-1008- Fax(209)467-1118 <br /> Clien '�}y Pro'ect Manager Tests Required <br /> Phan Number <br /> Samplers: (Signature) Irnroice: <br /> AGE <br /> Project Name Avi5 Aw/ ,/ I 3s Ment ❑ <br /> Tyne s <br /> Sample Location Sample 'Solid No. of Notes <br /> Date � Time Water <br /> Number Description Comp. Grab. ar Conts. <br /> r <br /> 037- <br /> 5 <br /> uf43 X kJ x-3 <br /> t S -4D <br /> 2- 1 Z- <br /> e,nquis a y: ignature eaerve y: ignat re ! ate)k) J 11174 a <br /> 3a <br /> etinquished by: (Signature) Received by: (Signature) ' DatsfTime <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysie:(signature) ` - Date/Time <br /> Dispatched by: (Signature) DatelTimeRaeeived for aboretory b : _f/ Date/Time <br /> r• i <br /> Method of Shipment: w Laboratory a}ma <br /> r-1 <br /> Specl I instructions'. - \, r,`, i ereby AWri the performance of the above Indicated work. <br /> LoL LI 1 j <br />