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_ TOARECORD <br /> � Advanced CHAIN OF CUSi <br /> Date <br /> _-w GeoEnviron mental, Inc 0�* <br /> 837 Shaw Road- Stockton California - 95215 (209)467 1006- Fax (209) 467-1118 <br /> i <br /> Project Manaa er <br /> Client 1°C_�� �� �, C ' � ''a� L �,t'� � Tests Required <br /> hone Number <br /> Samplers (Signature) � Invoice <br /> AGE <br /> Client <br /> Project Name <br /> ❑ <br /> Sample Type <br /> /v r <br /> Sample Location NO of Notes <br /> / <br /> Date Time Water Solid // <br /> Number Description comp Grab Air Conts <br /> q ACX ' <br /> > >k �tW _ C <br /> Y X Y <br /> Al <br /> r.r'l✓" <br /> alrTim <br /> Tim <br /> e <br /> LL- <br /> e in ia Si at re (Signature) <br /> Relinquish d by (Signature) Received by (Signature) <br /> Date <br /> 1CFW <br /> PF 1ATFt <br /> GOOD CONN r`ON <br /> r Relinquished by (Si�6�ti?r8)'ACE H .S y Mobile Laboratory for field analysis (Signature) faetelTime <br /> pgCF3I.ORlNATED IN LA13 PRE5ER.VQ <br /> p METALSO'IHM <br /> Dispatched by (S'grf�t RVAnrUN DatelTime Re r oratory by U lot 1Me <br /> 36 6S g/S- <br /> Method of Shipment Laboratory Name <br /> Special instructions <br /> J( ! hereby authorize the perlorman a of the above indwated work <br /> J <br /> REC'D SEALED & INTACT VIA <br /> 7 <br />