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r rr rr rr r� r r� r r r rr r r r r rr rr , rr r <br /> 1 <br /> • CHAIN OF CUSTODYOCORD <br /> Advanced3 <br /> Date I 1`5 -q-f Page - of <br /> GeoEnvironmental, Inc. <br /> 4005 North Wilson Way-Stockton,California 35205 (209)467 1006 Fax(209)467-1118 <br /> Project Manager <br /> Client H a rT an d"h �- 5 7 h� 5 " ' Kibbe" Tests Required <br /> K e,r�+1 <br /> Phone Number <br />� �aoq) alb 7 - 100 <br /> Samplers (Signature) irk Invoice <br /> AGE IR <br /> Project Name C ka v ro[-tt — Had Iso) )";,A ?k-4-� � r�' � Client ❑ <br /> Sample Type No of ' `�p / <br /> Sample Location Date Time Water Solid �` �� 7b a, Notes,t <br /> Number Description com Grab Air Conts A% <br /> p � uFi <br /> G F 3 66 P36 <br /> - �� zn`vx`r r <br /> G p37 1f1 1q:1 r? <br /> G 7-IT -14 <br /> V4,w - �5 Abw3 <br /> GP3Z -35- <br /> �.�.(� JVD :'=ar�.i . '� 7 <br /> G - 4, I �O y♦ i`�-?�kr�3A'!yy..yE�,�lll�t gtrk <br /> 7 � * / TI- <br /> Received <br /> ,,}`wr�B4fZ�5'"3 L°S'4��1 <br /> 6P37-60 -T <br /> - <br /> «r <br /> Re m uis e r natureyt(SinaWrfie) <br /> ure ,q �Iyj� t� _ 4��4V <br /> �0.y T•a �_ I}- -�-1 <br /> 1�ti[ �I / �+� �[ Dale/Time <br /> Relinquished by (Signature) Received by <br /> I <br /> Relinquished by (Signature) Received by Moble Laboratory for field analysis (Signature) palelTlme <br /> i <br /> Dispatched by (Signature) DatelTrme Aecerved Ivr Laboratory by Date/Time <br /> Laboratory Name <br /> Method of Shipment ( I <br /> �-! fi-k 11��C ��'rf i �Y C �4�3 D��i H C cQ Mil b-{ 1 I <br /> Special instructions r '�r — __ __ li it t5 _ I hereby authorize the performance of the abTI <br /> ove indicated work <br /> ! (,�t <br />