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CHAIN OF (;Ub I ULJ I , <br /> Date <br /> Z'?J 5 r Page ,I- of i-_ <br /> Advanced s <br /> ironmenta�, Ino, g 467-1118 <br /> GeoEnv <br /> California•95205-(209)467-1006 Fax(20 ) wired <br /> Stockton, Tests Req <br /> 4005 North Wilson Way Proiect t0anager <br /> L <br /> Client Phone Number <br /> Invoice: <br /> Samplers: (Signature) AGP-f--Tr <br /> Client ❑ <br /> Notes <br /> Project Name Sample TYPe Solid No.of r <br /> LWater Air Cvnts. <br /> ocation Date Time crab. 00696 <br /> Sample pomp' r <br /> Description I, <br /> Number12--17 �,r, <br /> "4"i � 0069 <br /> 7 1,40 00698 <br /> r <br /> �3 <br /> D a/Ti ' <br /> l ate e <br /> ignature r n� o <br /> ecerve Y;r� �D�� ,� ` V lIn n�(' ��:LjN,�� ll 1L <br /> h v Yy.l�; �1�:7 <br /> ingws a Y ( igr�atu a 9,4 / l Dale me <br /> `�rrii�lj4�l'f <br /> Received by: (signature) <br /> + r �ii;:•.', <br /> Iona 1,4 ? Si nature} I�E 1� _ <br /> Relinquished : {Sig Dateffime <br /> �Aobile Laborator for Bald analysis: g � r�ryl.�is <br /> PAO � Y IIL <br /> � D paceived by Cplf�ri <br /> r fILriVr��-- <br /> Relinquished by: (Signature) Received for Laboratory by <br /> DalelTime <br /> 7� f Lnbvratory Na�� <br /> 11 <br /> Disp <br /> aiched by: (Signature} i l� <br /> Bu the performance 01 the above indicated y"o <br /> 1 hereb _ <br /> Method o1 Shipment: C/y� � c <br /> k- _ i <br /> Speciallnstructions: <br />