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L <br /> CHAIN OF CUSTtCORD <br /> � Advanced Date ��_S-�7 Pae 2— or <br /> GeoEnvironmental, Inc <br /> 4005 North Wilson Way-Stockton California-95205-(209)467 1006 Fax(209)467-1118 <br /> 3313 <br /> Client Lj q 1 _ VC�1 G r flcic Project Manager r bV Tests Required <br /> J Phone Numb <br /> Saamp'lers (Signature) U Invoice <br /> Project Name <br /> Client ❑ <br /> Sample Type <br /> i <br /> Sample Location Time 4 e Solid No of Notes <br /> Number Description gio CBmW Grab <br /> ter Air Conts <br /> 82643 <br /> 1( 82644 <br /> 17s <br /> etn is e y rgnature ec ve y t lure 11�/„f�'r x t')IatelTime <br /> Relinquished by (Signature) carved by (Si nature) V Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) Data/Time Received for Laboratory by Date/Time <br /> Method of Shipment /� / �-�VerLaboratory Namep V V etaW ,( GZee6,j A / C r��C 4,7 r <br /> Special Instructions PYVIA -15%AtA4:,N 1 hereby authorize the performance the above indicated work <br /> WAS I ON METALS OTHER )4� g2tc1k <br /> GOO CONDITION .JAPPROPIRKE <br /> [EAD SPACE ABSENT CONTAINERS--4 -- <br />