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rr r r r rr r rr r r rr rr rr r r rr r rr rr r <br /> ( Advanced a �; s� <br /> CHAIN OF CUSTOISECORD <br /> - ot <br /> GeoEnvironmental Inc. Date 9Paye <br /> 837 Shaw Road- Stockton,California-95215-(209)487-1008-Fax (209)487-1118 <br /> Client G Pioli M, <br /> L er kvtat,M Tests Required <br /> Phone Nuber <br /> (�09 7 <br /> Samplers {S at Invoice <br /> f / AGE <br /> Protect Nam s CAr Gid <br /> Sample Location <br /> Sample Type � <br /> Solid No of Notes <br /> Date TimeWater <br /> Nu ber Description comp Grab Air Corns <br /> i i"� 5CIA ' <br /> • G <br /> e i ui e y tgna a ecerve y rgne�ure <br /> ate <br /> te <br /> Relinqutshed by (Signature) Received by (Signature) DatelTime <br /> Relinquished by (Signature) Received by Mobile laboratory for field analysis (Signature) Date(Time <br /> Dispatched by (Signature) Date/Time Recewe to t rato to/Tim" <br /> 0Sr— DC <br /> Method of Shipment Labor Name <br /> V v 2LD , <br /> Special insttucUans NNA A 1 hereby authorize the part rmance of i above indicated work <br />