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Advanced CHAIN 0" C,STODY RECORD , <br /> b"I 2— <br /> Date Page of <br /> GeoEnvironmentall Inc. <br /> 837 Shaw Road Stockton, California- 95215 - (209) 467-1006 - Fax (209) 467-1118 -0 <br /> Client Project Manager Tests Required <br /> Phone Number <br /> C �, <br /> Sa!pplers: (Signature) Invoice: <br /> AGE <br /> Project Name AV nt, aClient <br /> Sample Type <br /> Sample Location No of Notes <br /> Date Time Water Solid <br /> Number Description --F— Air Conts. <br /> Comp. Grab. <br /> L(lk <br /> '�,-2, ZiUP <br /> 92, -912, <br /> ?,? ,z qbi lk <br /> 13- <br /> V0 . <br /> e a tur R-eNv <br /> —ce- -eDate/Ti a <br /> -d by: (Signature) <br /> Y: ( �* �-I-� <br /> Received by: (Signature) Datef/fime <br /> Relinquished by: (Signature) A , <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: Date/Time <br /> Dispatched by: (Signature) Date/Time Received for Laboratory Date/Time <br /> or <br /> gry Nam <br /> Method of Shipment:() L T <br /> r,V-1— t er-cq <br /> I hereby ayLt_horize the performance of the above indicated work. <br /> Special Instructions: <br />