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..... �.. ifs i 1tltAftfa• ■■�� �� � � � � � � � � � <br /> � Advanced <br /> CHAIN OF CUSTO ECORD <br /> GeoEnvironmental, Inc. Dated ° Page —I—of 3 <br /> 637 Shaw Road- Stockton, California- 95215- (209)467-1006-Fax (209)467-1116 ( Z —17 <br /> Client �L`[�G � .� <br /> Project Manager <br /> Tests Ragweed i <br /> T <br /> N be <br /> CH67—P06 <br /> Samplers (Sign ure) Invoice. <br /> Project Name /^f�tM O r� AGE 2( <br /> Client ❑ <br /> Sample Location Sample Type No of �� <br /> Number Description Date Time Water Solid N Notes <br /> Comp Grab Air Ciont8 <br /> 4W 3/,z zZa3 MW 3 <br /> AWS Izq <br /> ^XA" c � `` 12©7 XX X13, <br /> X <br /> Aw 9A C)q-Lc) <br /> X <br /> ,W ±84,4uls �� <br /> gna re eceeve y ignature <br /> ate/Tim <br /> 2 <br /> 7-2 3 t 60th <br /> Relinquished by (Sign ure) Received by (Signature) �TAT Date rme <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DatelTrme <br /> Despatched by (Signature) Date/Tlme Race a Laboratory by Da !Tome <br /> Method of Shipment Laboratory Name <br /> i � Tee K <br /> Special Instructions (` A)EEL) EVF I hereby authorize the perforriliance of the above indicated work <br />