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i ! ! ! ! ! ! ! ! ! 1! ! f� f� lil! f� � ti• ti•� ttf� <br /> Advanced <br /> CHAIN OF CUSTOECORD <br /> � � <br /> Date TZ62 Page --I—of <br /> --- GeoEnvironmental, Inc <br /> y' 837 Shaw Road-Stockton, California-95215- (209)467-1006 - Fax (209)467-1118 /7 <br /> r <br /> Client Project 1 as ger <br /> t Tests Required <br /> Phone Nu ber <br /> -) <br /> Samplers (Signature) Invoice <br />� � lv, AGE <br /> V,Project Name Ce 4Z Client <br /> Sample Type <br /> Sample Location Date Time Water Solid No of Notes <br /> Number Description Comp Grab Air Conts <br /> ° ° - Y <br /> -fig 1 r <br /> eceiveyignaure DatelTime <br /> e i is e y igna a' <br /> S <br /> 1 LXNfle, <br /> Date/Time <br /> Relin is ed by (Signature} Received by (Signature) l <br /> i <br /> -)�, <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date[Time <br /> Dispatched by (Signature) Daterrime Received for Laboratory �JJ) Date rime <br /> Method of Shipment Lap tory Hams <br /> I hereby authorize theperformance of the above indicated work <br /> Spacial irtatrucLons <br />