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Advanced ob-�0339� CHAIN OF WSTODY RECORD <br /> - < GeoEnvironmental Inc. Date /y JZ-Pa e <br /> s or_� <br /> 837 Shaw Road- Stockton. California- 95215 - (260 467-1006- Fax (209) 467-1118 <br /> Client = J lect Manager <br /> Tests Required <br /> Phone Number <br /> A WKS u�0 <br /> Samplers: (Signature) Invoice: <br /> Project Name C4K(i, Vk Ql AGE--N <br /> Client ❑a <br /> Sample Location Sample Type <br /> Date Time Water Air solid Conts. <br /> Number Description Notes <br /> Comp. arab. <br /> 41V <br /> OZ- <br /> VGAS PrG td`TAt S <br /> _ t r a <br /> I ak <br /> I c u S YLE Q11fl, CG dlAt; fl <br /> q. urate ece va y: gnelure <br /> '� <br /> 2 Dete/Tlm <br /> Rall qula ed hy. (S gn Received by: (Signature) 5-rAAlO. T• A °•� T e ,40 <br /> I Dele/TI o <br /> e inqu shed by: Signature Received by Mobile Laboratory for field anely:la: (Signature) Date/Tlme <br /> Dispatched by: (Signature) Date/Time a el ed for a oratory by: Dale/Tlme <br /> Method of Shipment: <br /> CSI abora or Name <br /> cL <br /> ecle`IntUucgona: <br /> v �/1� � I her euth Ize the Perfoc once of the above Indicated•work. <br /> . t" C1 (`—`I�� ` � - <br /> (I � <br />