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• i <br /> Advanced <br /> CHAIN O CUSTOC*ECORD <br /> GeoEnvironmental Inc. Date .. �' Page 2- of Z- <br /> 837 Shaw Road-Stockton, California-95215-(209)467-1006- Fax(209)467-1118 <br /> Client Project Manager �J <br /> Tests Required <br /> P one N mbar <br /> Samplers. lg ure) Invoice <br /> Project Name L AGER <br /> Ghent ❑ <br /> Sample Location Date TimSample Type e Water Soho No of Notes <br /> Number r i Description Comp arab Air Conts <br /> W L4 V 6U <br /> NV <br /> 1.33 3 �3 <br /> quis e y nature aceive y (signature) DatefFirt►e <br /> Relinquished ( re) Received by (Signature) Date/Time <br /> Relinquished by (Signatwe) Received by Mobile Laboratory far field analysts (Signab") Date/Time <br /> Dispatched by (Signature) 6atefrima Received For laboratory by 1 Date(Tim <br /> t L11 <br /> I <br /> Method of Shipment Labor ato aNelv <br /> spec}al instructions I hereby authorize the perfo ante of the above Indicated work <br />