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( Advanced CHAIN 9F CUSTODY RECORD <br /> GebEnvironmental, Inc. Date Page <br /> 837 Shaw Road Stockton Califorrtta 95295- (209)467 1406 Fax (209)467-1118 <br /> Client ' I � Project Manage <br /> � Tests Required <br /> one umber t <br /> -- - Sam lers (S natur Invoice <br /> Pfolect Name ' AGE <br /> F—J <br /> L- - ''�- - Client ❑ <br /> Sample tacatlon Sample Type oo <br /> i <br /> Number Description Date Time _ Water Air Solid Con of <br /> / / Notes <br /> Comp Grab <br /> lud <br /> z2--6 G1 IIT11 <br /> le+n%2es rgnat re ern yc y gn—at ure <br /> IelTim/e <br /> Z '7 <br /> Relinqui0hed by (Sognature) Received by (Signature) r r <br /> atelTime <br /> Relinquished by (Signature) - necetved by Mobile Laboratory for field analysis (signature) <br /> <7-7 DatafTime <br /> Dispatched by (Signature) <br /> D%to/Time Receav r aboratory telTlme <br /> ra��a3 9 ori <br /> Method of Shipment <br /> Labofalpry Nam <br /> Special Instructions <br /> I hereby aulh r e the or mance of the above indicated work <br /> l <br />