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r t I t r r r r r r r t r r r r r r r <br /> Advanced <br /> CHAIN OF CDSTODYQCORD <br /> � <br /> j'� DateAk f Page ( r" <br /> GeoEnvironmental, Inc. VV MY <br /> tom- <br /> 837 Shaw Road - Stockton, California- 95215 - (209) 467-1006 - Fax (209) 467-1118 <br /> ClientProliect Manager <br /> � f Tests Required <br /> i t L' <br /> P ne umber <br /> ` m t / <br /> Samp s: (Si ture) Invoice: <br /> Project Name , <br /> AGE <br /> -` � � Client ❑ <br /> Sample L' ation -Sample Type No. of <br /> Number DescriptionDate Time Water Solid Notes <br /> Comp. Grab. I Air Coats, / /' <br /> 3 IL' 4- <br /> fi-1140 <br /> ielin �atule eceire y: kgnatureq y, gate/Time <br /> :-rte' <br /> Relinq ishe b (Signal rel ,��' ROGelVod by: (Signatu e) Date(Time <br /> IG D CONDIVON- -APROPRIATH <br /> Relinquished by'. (Signatur ECHLORINATED IN L P ea0t )tm (a Laboratory for field analysis: (Signature) Date/Time <br /> VOAS, b&d ALS MUM ---_ -17'4- <br /> Qispatchad by: (Signature) e(rime Received for Laboratory by: Qate(Time <br /> Method of Shipmenh. Laboratory N a p <br /> Special Instructions; `,. b.� <br /> I hereby authorize the a ormance t the above indicated work. <br /> It oaz�— <br />