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IW <br /> CHAIN OF CUSTODY RECORD <br /> Cr) l Advanced i - �tl+S,nr+,�flJ_ <br /> �---s' _ L Olt . f i, +�+_� <br /> %` GeoEnvironmental, ICAC Date .0 Page ,2._ of 3 <br /> I 4005 North Wilson way Stockton California 95205-(209)467 1006-Fax(209)467-111 a <br /> Client _ 11�:-j� .�,, 0\l�-,V V. r.-) Prosect Manager Tests Requlrad <br /> Phone Number <br /> CL <br /> t 000, <br /> Samplers (Signature) ��' /O Invoice. <br /> 7�(1 AGE,® <br /> C3 Project Name jAS G1 CA\C0rDa1Egy& n Client ❑ <br /> m 1 <br /> Sample Location Sample Type No of <br /> Number Description Date Time Water Air Solid Corps 38994 <br /> comp Grob _ <br /> 3r30 k 38995 <br /> 4r 38998 <br /> 141'05- <br /> 38997 <br /> N <br /> t' 'r � f oZ:S� <br /> k � <br /> �f v l� y 38999 <br /> X - <br /> � aZ�`oY tom•Ob I r t t lo� �� ''yy/� - <br /> MW�`� s� �a � X 3I X / � � VV� <br /> adurs y� rgnature} eceive y ure UeUrTlma <br /> rulehad by ( rgnature) Received by (Signature) <br /> a <br /> -4 <br /> m <br /> Q Rehnqurehad by (Signature) 3lnceived by Mobile Laboratory for held analysis (Signature) r� DalelTlme <br /> dA <br /> rr <br /> `u Drapalched by (Signature) Daleillme Received for aboratory by Oelalr <br /> C09-olv.� 7 1:!� <br /> E <br /> rU Laboratory Name <br /> U Method of Shipment <br /> z <br /> Special insttuctlons I hereby oulhorfze the performance of the above Indicated work <br /> CID �-!3 W SrI_ r I t m ti <br /> � kke-v) v Arnber� 3 <br />