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Advanced <br /> CHAIN OF CUSTOAECORD <br /> - GeoEnv�ronmenta , Inc Date !Z-zz- Page of Z <br /> 4005 North Wilson Way Stockton,California-95205 (209)467 1006-Fax(209)467-1118 <br /> Client Project Manager <br /> Tests Required <br /> TF rn <br /> Phone Number <br /> D,n1 - Liu 7- loo , <br /> Samplers (Signature) <br /> y <br /> Invoice <br /> <1 AGS � <br /> Project Name CAL <br /> L - v 1� Client El <br /> e, <br /> sample Location Date Time Sample Solid ype No of Nates <br /> Number Description <br /> Comp <br /> mp arab Air Conts I <br /> 56§34+ <br /> AWA tL 2,oa AW — tt-z 1-Cao (,7 3 U X 3 n �Av– 56 <br /> Aw13 /izzlod tZzI 0U1450 <br /> /� x <br /> A'-,;IA Ll,du Ate+ -7- A it-Zt-c)u iLlito 56936-' <br /> AwAghzz,00 AvJ – -6o .5 �( X 56931' <br /> �w) / 12.2101t-zt-ac 1410 X -3 X n 55i93Br <br /> I <br /> MwZ / I LI\ot) Mw - 2- 14155 x —2' X X 56,939X <br /> MW-1 /lUtOO fV\ _3 (Z-Z+ I(VAS X 3 X 56940' <br /> e to uts e y (Signature) y (signature) DatelTime <br /> may, 5 t2-22-OV 081-S <br /> Re quashed by (Signature) Received by (Signature) DatelTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysts (Signature) Date(Ttme <br /> Dispatched by (Signature) Date/Time Received for Laboratory by Date/Time <br /> - . i 3v <br /> Method of Shipment <br /> Laboratory Name <br /> G 1 QVp—rL C.aih e �1 <br /> Special Instructions �� "' i1 t hereby authorize the performanob of the above Indicated work <br />