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I� I• � elm � � � r� � � Ill, � 111• � <br /> Advanced CHAIN OF CUST RY RECORD <br /> GeoEnv2ronmental, Inc <br /> Date 3-34 -99 Page 3 of <br /> 4005 North Wilson Way-Stockton,California-95205 (209)467 1006-Fax(209)467 1118 <br /> r ,9- <br /> Proms Manager <br /> clientl r�� �� g � r, t< Ai I 1, L Tests Required <br /> Phone Number <br /> '7( J(J <br /> Samplers (Signature) �j� Invoice <br /> C AG <br /> Project Name j Chen <br /> Sample Type �� � <br /> Sample Location Date Time Water Solid No of \ 1 r� Notes <br /> Number Description Air Conts <br /> Comp Grab <br /> Mural rcrirlCVZf� Mk;'�\; j� �'� gj.(�5 Y\' I <br /> OVA wv3v iD <br /> M W U- 3(1 <br /> i <br /> Reti uis e y (Signatu a ecerve y ignature) DatelTime <br /> /R IV Q� 3 3/ g cl 3 p <br /> Relinquished by (Signature) deceived by (Signature) DalelTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DatelTime <br /> Dispatched by (Signature) CatelTrme Receiv I boratory by Dal /Time <br /> `/r i 9 <br /> Method of Shipment r77Z:F�aboalory Name <br /> G� lir T! <br /> Special Instructions _11-0 <br /> eby authorize the performance of the above indicated work <br /> 6 <br />