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CHAIN OF CUSTODY RECORD UD <br /> fit, 2� <br /> Advanced . <br /> ,r Date ddS] per Page of 'C <br /> „- <br /> GcoEnviron mental, Inc - - n <br /> _ 4005 Plorih WrlSon Way Stockton Cal,lornla-95205 (2091,467-1006-Fox(209)467 1110 <br /> Cr <br /> Client rLAa 044ki <br /> rc7 RrvfectM Hager r` Tests Required D <br /> �.- <br /> f rte umber <br /> +v <br /> F, <br /> qWure) Invoice. <br /> Pro)ect Name s /' "' AGlw E] <br /> Client ❑ <br /> Sample Location Date Time SaterPleYP© Solid No of <br /> Number Description Air Corns <br /> comp Grab <br /> 3P865 <br /> YWT;f�hCti 1 �/ Q�} N <br /> �.1�1(�q fl�os- - _1 � s-�s--� f sr�s (� � � 3 11`1 6 6 (�Q <br /> _!+? .. �- <br /> l�'isCD <br /> C_ <br /> 38067 <br /> Mw _q s s 17 x N <br /> ' '3868 <br /> MIZ- 10 A `\ 1 I'2S t! Ix X X A r <br /> cxS- ` ' <br /> K 5 X 38869 <br /> X 5 X X n �` 3 8 7 b <br /> Nt�J-icy e-1 <br /> l `f X 5 X � k � 38871ri a lure <br /> 7...v.,,3y Qn r <br /> Ilp,rh�ulehed by ature) eby (S gnat o) Dalo/Tlme D <br /> nebrnqurshed by (Signature) Received by Mobile Laboratory lot field analysts (Srgnelure) �� Dateilime <br /> (h9patched by (Stgnalure) Date/Tr 0 Received lot Laboratory by Dala/Time <br /> M.hod of hipment ';rl� _ fr!,t r r „t 4 LaboratP— ITO <br /> 7a0 <br /> Special Instruchant ' '' ti r,, r y^i I hareby au)otlze I pe torm to or the above indicated work to <br /> LGNt,4rri�j -- - <br /> �- b 1 <br />