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t Advanced � �� -2- 13 CHAlN OF CUSTO <br /> DIR CORD. <br /> Date Page of <br /> - GeoEnvironmental, Inc. <br /> 837 Shaw Road-Stockton, California- 95215-(209)467-1006- Fax(209)467-1118 <br /> Client + Pro ect Man r Tests Required <br /> .wl <br /> one m r <br /> Sam s (Sig re) Irnolce <br /> AGE <br /> Project Name Y Client ❑ <br /> Sample Type <br /> Sample Location Date Time Water Solid No of Notes <br /> Number Description Comp Grab Air Conts <br /> e,nq s at ) Jr <br /> y tgnature tE <br /> Reli quashed by (Signature Received by (Signature) atel�tme <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysts (Signature) / Date/Time <br /> �Dispatched by (Signature) Date/Time Receiv i r borat by ata/Ttme� o ov <br /> Laboralo me <br /> Method of Shipment <br /> l hereby authorize tKW.V performance of We above indicated work <br /> special Instructions <br />