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� <br /> CHAINJO rpage <br /> TODACORD <br /> Advanced ate Dofa <br /> GeoEnvironmental, Inc. <br /> 837 Shaw Road - Stcckton, California 95215- (209)467-1006- Fax (209)467-1118 <br /> Project Manager <br /> Client � � .rV �. _ , Acciv Tests Required <br /> I W� <br /> Phone Nu r <br /> Samplers (Slgnat Invoice <br /> Project Name AGEX2 <br /> Chant ❑ <br /> Sample Location u 5ampie Type Solid No of <br /> Time Water /R, Notes <br /> Date Ti <br /> Number Description Comp crab Air Conts <br /> —N�– 1 �1-1 t I q-k?sx--) <br /> 3 X /Y\'X <br /> ou 3 <br /> l� �kW VO <br /> � A00)-01 <br /> C) 3 <br /> nquis ign fe Received by (Signature) Datery e <br /> uished by (Signature Reserved by (Signature) DatelTrme <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) Date/Time Received for Laboratory bi Dat [T e <br /> Method of Shipment Lab tory Name <br /> Special tnatfuchons (` ` 1 y authorize the perform nce of the above indicated work <br /> r <br />