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rr �r r r r r■ rr �r � r r ar rr rr rr — rr <br /> Advanced CHAIN OF CUSTrrOD ECORD <br /> _ GeoEnvironmental, Inc. nate Page of `Z <br /> -.. <br /> 4005 North Wilson Way-Stockton,California-95205-(209)457-1006-f=ax(209)467-1118 I <br /> Client71` Proje ana r (A"l <br /> T Required <br /> Phone-Number <br /> Samplers: (signature) lnvoic <br /> AGE <br /> Project Name ��4A�6 <br /> Clie t <br /> Sample Type <br /> Sample Location No. of <br /> Date Time Water Solid Notes <br /> Number Description comp. Grab. Air Cants. <br /> 17998, <br /> 8`0 0 — <br /> 4 1 <br /> Re inqu s y: natureReceived y: ignature Date/Time <br /> 7ftl`Relinquished by: (Signature) Received by: (Signature) "" Date/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) DatelTime, <br /> Dispatched by: (Signature) Date[Time FlIeceivedlor Laboratory by: Dale/Time <br /> Method of Shipment: 6Laboratory Naps <br /> �1ee teceCVej <br /> VOAS Instructions: O&G METRES OTHER y � <br /> Special I hereby authorize the erf mance oft a above indicated work. <br /> RESERVATIM 4d <br /> p �� <br /> 1C <br /> HEAP)SPA <br /> APPROPRIATERio) <br />