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� i� i� � i� i� � i� � i� i� � i� r � � ti• � s <br /> CHAIN 9F USTQDY RECORD <br /> � Advanced <br /> Date Page tat <br /> GeoEnvironmental, Inc. � �, � � --L-.- °�- <br /> 837 Shaw Road- Stockton,California-95215- (209)467-1006- Fax 09) 467-1118 <br /> Client PrnJe ag r Tests Required <br /> al, <br /> P ne Number 1� <br /> Sam s (Signature) Invoice <br /> AGE ❑ <br /> Project Name Client <br /> of <br /> Sample Location Date Time Water Sample Type Solid No Notes <br /> Number Description Camp arab Air Conts <br /> 67589 i <br /> I <br /> ° I 67590 <br /> 4" �' �' 11 67591 <br /> 67592 <br /> 1010 -3 <br /> Ir 6759 <br /> _ 67594 ; <br /> \/VJ I k�44W � I <br /> �-t <br /> tdby <br /> 1d1c�o 3 � 67'595 <br /> g ura eca vay ignature( g atu Aceivad by (Signet METALS OTHER DateJTime <br /> 1C£1}` 0etelTlme <br /> Relinqu shed by (Signature) GOOD CO3J�'sTION Rece Lebo or a ane a (Signature) <br /> -,7 r r ,rr <br /> gale►7ime Fie e v for pborat // Dat tTime <br /> Dispatched by (Signature) C� /�J .a� <br /> Lratory me 7 <br /> Method of Shipment <br /> I hereby akwo xe the erlormance of the above indicated work <br /> Special Instructions <br /> 'HI d_\� <br />