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CHAIN OF CUSTOPRECORD <br /> Advanced ' <br /> - f3,�- �. Paye of <br /> Date <br /> --- GeoEnvironmental, Inc. <br /> 837 Shaw Road Stockton, California- 95215 - (209) 467-1006 - Fax (209) 467-1118 <br /> Project Manager Tests Required <br /> Client k VI <br /> i ✓�rl°'` '^-'I'�' f` <br /> V+y <br /> Phone Number ' <br /> t --y 11% ' -jp ji J�--f �. <br /> Samplers (Signature) - Invoice <br /> F� AGE <br /> Project Name �;I� Client El <br /> Sample Type <br /> Sample Location Date Time Water Solid No of F Notes <br /> Number Description Comp crab Air ContsR <br /> t f <br /> .l L 2- J `` t �' <br /> —3 tti <br /> ecei ii y (Signature) DatalTrme <br /> !,1elinquI's e y ignature,� III _, S C. 5 <br /> 1 <br /> DatelTtme <br /> Relinquished by (Signature) Received by (Signature) <br /> Dete(fime <br /> Relinquished by (Signature) Received by Mobile Laboratory for 681d analysis (Signature) E <br /> X Date/Time Received for Laboratory by Date/Time <br /> Dispatched by (Signature) <br /> Laboratory Name <br /> Method of Shipment t <br /> t E I hereby-auth raze the performanciI the above Indicated work <br /> Special instructions <br />