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( Advanced CHAIN OF CUSTOAhECORD <br /> GeoEnvironmental, Inc. Date 3-�i�a9 Page of� <br /> i <br /> 4005 North Wilson Way-Stockton.California-95205-(209)467-1006-Fax(209)467-1118 114 <br /> SLJ3 Z A6ru ig <br /> Client Project Manager <br /> 01 Tests Required <br /> Phone Number <br /> Samplers: (Signature) Invoice: <br /> Project Name �' �Q AGE. <br /> S1h oC� 94. <br /> Client ❑ <br /> Sample Location Sample TypeDate Time No. of <br /> Number Description Water Solid Notes <br /> Com Grab. Air Corlts. <br /> P• <br /> re 08362 <br /> Rel W - 2 3—3 --qq 1 -9 1,145 �' r <br /> 083fi3 �- <br /> -3�3 - t -aq 1 :55 ><, X XX , <br /> t1-A VJ -3 3 -99 _X1 XV <br /> a <br /> 08364 <br /> 08365 <br /> tit.w - A(3 31 -aq V Z, t 5 ' <br /> Relinquished y: (Signature) ace a y: ignature ��� ^tt��T Dale/Time <br /> � r <br /> s' Ate A-- �1QZ STRND>�e�7 <br /> Relinquished by: (Signature) RactIved by: (Signature) Dalefflme <br /> I <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) Date/Time <br /> I <br /> Dispatched by: (Signature) DatelTime Received for Laboratory by: Data/Time <br /> Method of Shipment: r 1 Laboratory Ne e <br /> Ca. ✓e Q <br /> Special Instructions: VOA ONMETaLs oryER 1 hereby authorize the performance of ilia above indicated work. <br /> GOOD CONDITION APPROPRIATE <br /> '} CONTAINERS <br />