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i • <br /> Advanced CHAIN OF CUSTOAECORD <br /> GeoEnvironmental, Inc. �G, ��G Date�l� Page -I—of <br /> G <br /> 4045 North Wilson Way Stockton Califomia-95205 (249)467 1006 Sfax(209)467 1118 1 <br /> Clfent � --- �- �- - project Manager 1 <br /> __-_-- Qi r 1 in Lues Tests Required <br /> I phone Number <br /> Samplers (Signature) Invoice <br /> Project Name �F _ t \ � (/rte I Q' AGER <br /> (— W 'ter' ��S~ Client ❑ <br /> Sample Location Sample Type �� � <br /> Number Description Date Time Comp Water <br /> rab ,fair solid Conom Notes <br /> 4r -2 ;t �+' 42574 <br /> d��{"�--. --- - - � ►- 1 io 1A 42575 i <br /> 42576 <br /> X0 r� -- - 1 OD X 3 '� 42577 <br /> 42578 <br /> Relinqut a by (Signature] v Receivedby gnature ate me <br /> eiinquished by (S+gnature) x= by (Signature) <br /> W_v I Dat;/Time <br /> ime <br /> r 1 <br /> r!k qui 'd by (Signatur «; v t ' y Mobile Laboratory for field analysis (Signature) Date/Time <br /> ��' <br /> f __ <br /> r <br /> nature) Date/Time K ived for Laboratory by j Dsta/Tfine <br /> Met d of Shipment Labor ry Name <br /> L - [�LevlA, t 1 <br /> Special Instructions i I hereby authorize the perform Ace of the above indicated work <br />