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Advanced <br /> CHAIN OF CUSTOWECORD <br /> 1Z 13 �� f <br /> GeoEnvironmental, Inc. Date Page of <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467.1006-Fax(209)467-1118 <br /> Client /01VI rVl 2 Project Manage t ► Tests Required <br /> �QNCfL <br /> Phone-Number <br /> 2-! 1&7-A306 o` <br /> Samplers: (Signature) \ti vice: <br /> AGE,� <br /> Project Name 1 ��. `r�l /-1 �„o Clierlf❑l <br /> Y1 I"6 rT ��L (,� <br /> Sample !vocation Sample Type No. of � � � <br /> Date Time Water Solid Notes <br /> Number Description Air Conts. <br /> Comp. crab. <br /> '�Odcelj 0-'N '44 <br /> Id <br /> �- <br /> PAVJ _z <br /> P,AVV 2 - ZS Z S1 <br /> MW -2 - 30 ��s� 0, aId <br /> Mw - Z :3: <br /> ' qu'secewe y� rgnatu, t 99 � Dale rime <br /> 1 -D r f , , �oQ <br /> Rel, ished by: (Signature} Received by: (Signature) Date/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis:(Signature) DatetTime <br /> Dispatched by: (Signature) Dale/Time Received for Laboratory by: Date/Time <br /> Method of Shipment: /` � Laboratory Name 64-k <br /> f <br /> Special Instructions: I hereby authorize the performance of the above indicated work. <br />