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s <br /> Advanced CHAIN OF GUST RECORD <br /> ' � zea e <br /> Ge oEnvironmental, Inc. Date 1 g � of <br /> '4005 North Wilson Way-Stockton,California-95205-(209)467-1006-Fax(209)467-1118 15'911(0 <br /> Client - Project Manager <br /> Tests Required <br /> Phone-Number <br /> ..J <br /> Samplers: (Signature) „tI Invoice: <br /> `CC <br /> al rt-.2-,Project Name AG E�f Q Client p <br /> fTTYt i� ,�� � <br /> Sample Location Date Time Sample Type Solid No. of Notes <br /> Number Description Water Air Conts. <br /> Comp. Grab. <br /> �1 th �l t l 28 '✓ 3 v� <br /> M I Za <br /> Wk) 7 IOC/ —� <br /> C7456 <br /> 7 12 <br /> lu Q -4-4e7 <br /> %Ii, Isey: ( ignature eceive i nature `� Dale rime <br /> _ ! —y: (Signature) DatelTime <br /> Relinquished by: (Signature) oratory for field analysis: (Signature) DatelTime <br /> ------------- <br /> Dispatched by: (Signature) DatelTime Bece!y,5d for Laboratory �by: Date/time�. <br /> Labo <br /> Method of Shipment: ratory Name <br /> Special Instructions: ,J I hereby authorize the performance of the above Indicated work. <br /> s / <br /> 1/.3 °C tip- . . Ove t tD 091UI O&D <br />