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r r r r r r r r r r r r r r i r r <br /> \t..' CHAiN OF CUST4 Y RECORD <br /> l Advanced <br /> --- GeoEnvi�ronmental, Inc. G�ML6' Date rr�- Page t3t <br /> 837 Shaw Road Stockton, California-95215 - (209) 467-1006 - Fax(209) 467-1118 <br /> s� <br /> Client ProManag <br /> Tests Required <br /> P ne umber <br /> M. <br /> Sam ers: (Signature) Invoice: <br /> r <br /> Project Name �� �' AGE ❑ <br /> • C Client ❑ <br /> Sample Type <br /> Sample Location Date Time Solid No. of Noses <br /> Number Descri tion Water <br /> p Comp. Grab. Xr Cont$. <br /> ZA Y-,4 <br /> > - a 7- <br /> I <br /> AW , <br /> GOOD CO M0N At? Ro .0 <br /> MAD SP E ABS c0 <br /> Relinquish d y: i "at rTeeeive y: ignature I?a e(Ti7 <br /> i <br /> Ralinq fished by: tbignatureV Received by: (Signature) V balefTime <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis:(Signature) C� Date/Time <br /> T <br /> Dispatched by: (Signature) Date/Time a eiv6d for Laboratory by; Date(Time <br /> a l <br /> Method of Shipment: La oralo y ame <br /> 4,eeciiild Instructions: t hereby auth ize thO performance of the above indicated work. <br /> eJ <br /> lz 7 <br />