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Advanced CHAIN OF CUSTO CE <br /> CORD <br /> -_ GeoEnvironmental Inc. Date Page of <br /> 4005 North Wilson Way-Stockton,California-95205-(209)4$7,1006-Fax(209)467-1118 <br /> Client Proje arta r 1 _1 YNequired <br /> Phone-Number <br /> Samplers: (Signature) Invoic <br /> AGE <br /> Projet Name Client <br /> Sample Type <br /> Sftmple Location Solid No. of Notes <br /> Date Tirne Water <br /> NUimber Description Camp. arab. Air Cants. v <br /> �1799� <br /> :i <br /> .f <br /> e inX,10.f1b <br /> y: nature Received y: �gnature Date/Time <br /> � a p <br /> r Reliny: {Signature) Received by: (Signature) Date/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis.(Signature) palelTime <br /> Dispatched by: (Signature) Date/Time Received for Laboratory by: Datomme <br /> Method of Shipment: r Laboratory Na e <br /> 71 <br /> Special Instructions. (� WAS 11pf± { A�t+ nT� 1 hereby authorize the pert manna of l e above Indicated work. <br /> APRFSFAMInN PPROPRIATE �YIC Ill J �j��t� <br />