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CHAIN OF CUSTOESECORD <br /> Advanced --1 04— <br /> GeoEnvironmental, Inc. l -� °tee F <br /> age <br /> 837 Shaw Road-Stockton,California-95215-(209)467-1006- f=ax(209)467-1118 <br /> Client Project Manager � R cared <br /> FF--cc t--- <br /> umber <br /> 6 <br /> ers (Signature) Invoice <br /> AGE <br /> Project Name Client <br /> Sample Location Solid No of Notes <br /> Number Description Date Time Water Sample Type Air Conts l`J <br /> Comp I Grab <br /> 1 ^� k-t <br /> D e/Time <br /> e mquis y cure Receivedy ignarureJC <br /> Relinquish y (Sig ature) Received by (Signature) Qats oma <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) / Date/Time <br /> Dispatched by (Signature) Date/Time Recei�eofatbyo <br /> ate/1 Mme <br /> Method of Shipment Laborsnrylame <br /> LI Z�Z_' <br /> I hereby autha a pert nee of the above Indicated work <br /> Special Instructions <br /> I <br />