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t Advanced <br /> CHAIN OFUSTODOECORD <br /> GeoEnv><ronmental, Inc. <br /> Date Page —�— of—J- <br /> 837 Shaw Road -Stockton, California-95215-(249)467-1006 - Fax (209)467-1118 <br /> Client Pr Act Manager Tests Required <br /> FP one Number <br /> —Zu4't <br /> Samplers (Signature) Invoice <br /> Project Name i k Y AGE , <br /> C1 C llJ Client ❑ <br /> Sample Type <br /> Sample Location Date TimeWater Solid No of Notes <br /> Number Description Comp Grab Air Conks <br /> VaV 176 1'7)-45;111 Cd <br /> 2— 3A XINYI 1 . <br /> �1+ <br /> e qu e y ignat Received by (Signature) DLT-�L <br /> 41 <br /> 17 <br /> elmquishe by (Signature) Received by (Signature) Date/Time <br /> Relinquished by (Signatu(e) Received by Mobile Laboratory for field analysis (Signature) � � Daleffime <br /> Dispatched by (Signature) Date/Time Received for Laboratory by Date ime <br /> Method of Shipment Laboratory Name LL <br /> iA L <br /> (—a-( 0 <br /> Special frtstructwrts k� 1 hereby authorize the performance of the above indicated work <br /> I Z-11 <br /> i� <br />