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r Advanced CHAIN OF CU5Ti <br /> GeoEnvironmental, Inc. Date '6 o Pale <br /> 6`55-7 iokc),A <br /> E137 Shaw Road- Stockton, California- 85215-(209) 467-1006 - Fax (208)467-1178ASV , <br /> Client ,/�� � � Pr ect Man _ <br /> �, -1 f A�.[ 0tAAU:>( LI- iriz/Lt— Tests + <br /> ctL a ert6oti <br /> Phone NumberSEE <br /> Samplers: (Si nature) <br /> � ` � Invoice: <br /> Project Name kk4- ICAh1 >7/IeuLn��l(� 4 E� t_ w y D ACBE <br /> Client <br /> Sample Location Sample Type A r'pe ;y <br /> Date Time No.of <br /> Water Solid <br /> Number Description Comp. Grab. Air Conts. <br /> ' WES -W-61 T'21 1 Nc Za <br /> b- 3a t2z I — <br /> oZri <br /> l'8(0 'aS� 12'Z` jCL40Lb <br /> ►O^ b 12=tet X <br /> rz'3 <br /> wa a rgnat a ice ve y: gn <br /> latur-e <br /> fle In q u a ed b Y f Si �/S lJgt-> T, <br /> nature) Received by: (Signature) <br /> m <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Slgnaluro) t r p i <br /> 9 {� �'1 �•v jY'A��Wr�F <br /> Dlspatohed by: (Signature) Date/Time Race abondgry by: r <br /> ����i�6'G'C� by: <br /> Methoof Shipment Laboml Nems e y #r <br /> Special Inalruckons: j' VOAS 0&0 41,.TAL� OT'8 160466 ri:e 6 I r C Y�Q� p6rlormanoe of Ihn above Indicated work. <br /> ATI `lY/'/J <br /> GOOD CONDITIONWAD SMI!ARSEM_ APFR":vRIAiE f <br /> L 1 !W { �a <br />