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i <br /> CHAIN OF GUSTC&I <br /> Advanced R <br /> �,Y► a <br /> GeoEnvironmental, Inc Date page - <br /> 837 <br /> ages -837 Shaw Road -Stockton, California -95215 - (209) 467 1006 Fax (209) 467-1118 <br /> ClientA C Pro ect rrag7 t Tests Required - <br /> Phone N <br /> amplers (Signature) rV <br /> Project Name <br /> Sample Location Sample Type No of i Notes <br /> Comp <br /> Date Time Water Solid , , <br /> Number Description Air Conts :' <br /> Grsb <br /> rdL4—k <br /> --Re s}nquia e y laignatufe) eeerve y T9rgnatura — D erTre 1 T <br /> Reim fished by igno Received by (Signature) DetelTrrt r <br /> i <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) TA <br /> I tL7 <br /> Orapatchad by (Signature) Batel7lme Re r ralory by tl f —L]mtsfli <br /> Method of Shipment � Laboratory Name <br /> A . <br /> Speciat tnsuuotipns V1 J ^ Z I hereby authorize the performan of the above indi^ete t z <br /> J <br />