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( <br /> • CHAIN OF CUSTO RECORD <br /> Advanced <br /> GeoEnvironmental, Inc. Date ' Page. _--- <br /> �::;✓ 837 Shaw Road- Stockton, California- 95215 - (209)467-1006 - Fax (209)467-1118 <br /> Client �i' Pr Manager Tests Required <br /> L. rst -- f 1 <br /> Phone Number i <br /> 77 <br /> Sam lers: (Signature) <br /> P <br /> Project Name clif~r <br /> Sample Tyne <br /> Sample Location No, of �t- <br /> Number Description pate Time Water fir Solid i , rJ �' Notes <br /> C 4n1p. a r aiJ. CD!1tS. - <br /> , <br /> ( I f <br /> �t� � ►� �tti.� .�� � t , x tri_ � � __ ----..-... .. <br /> 1 I T <br /> E <br /> r I , <br /> i <br /> e rnquts e ignature Received by-- ignaiure <br /> Reli quished by: (Signature) Received by: (Signature) <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analyais (Signature) �� l.aaie:' •?P <br /> Dispatched by: (Signature) Datefrime Receiv fer -aboral <br /> Method of Shipment: <br /> - ` LabN <br /> oratoryame <br /> Special Instructions: (t /� i hereby authorize the performance of thc; abc 3 lttd;sa!v.i <br />