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CHAIN OF USTODOECORD <br /> Advanced <br /> of <br /> GeoEnvironmental, Inc Date 7 d Pass l <br /> 837 Shaw Road-Stockton, California- 95215- (209)467-1006- f=ax (209) 467-1118 '0 <br /> Client PtA_ T <br /> r ect Manager Tests Required <br /> Gz <br /> Phone Number <br /> ('12 <br /> Samplers Ignature) Invoice <br /> AGE <br /> Project Name ^ rr U Client ED <br /> i <br /> Sample Type <br /> Sample ;cation Date Time Water Solid No of Notes <br /> Number Description Comp Grab Air Conts <br /> A 2- (16-5 -2- —dI745 6S-90 <br /> tM��- <br /> e in atur eceive y 1gnalure D te(Ti <br /> 't 7 a <br /> Relinquished by ( ignatu e) Received by (Signature) Data1T me <br /> Relinquished by (Signature) Received by Mobile laboratory for field analysis (S� Daterrime <br /> Dispatched by (signature) Dateffime Received for Laboratory by Datefft <br /> Labors Name <br /> Method of Shipment rAIL <br /> Special Instructions I hereby authorize the performance of the above Indicated work <br /> 4 <br />