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CHAIN OF CUSTOC&ECORD <br /> Advanced <br /> ;OP�9 <br /> +GeoEnvironmental, Inc. Dae ° ' Page of <br /> 887 Straw Road-Stockton,California-95215.(209)467-1006-Fax(209)467-1118 <br /> Client �,' Ai. Proms Mang Tem Requked <br /> Phone Ntaairdw <br /> Samplers- (Sigiat ) trrioice <br /> ` <br /> AGE <br /> Project Name _ Client ❑ <br /> 4 <br /> �.'.. <br /> Sample Location Dade Time Sample Type`Mater Soled No of Notes <br /> Number Description ,Aar Conts, <br /> Comp arab <br /> vft <br /> c 1` � ddddr•^ h <br /> 1nq;U 4hed by (Signature) Cb Y• �pajtfr ate ime <br /> Relinquished by ( lgnature Received by ($ipnaluft) Oats/Time <br /> Relinquished by ( prlalurer) Received by Mobile Labofatory for field anaiyeie (84ra drrs) <br /> 4 <br /> Dispatched by (6rynatum) atefTlme ftaiiilvad for LaMRWy by Daterrime <br /> Method of!shipment Labofauofy flame <br /> speClal t4rstrarcdans a �g _ I hereby authorise the prrrformanoe of the above Indicated work <br />