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ww w w w■ ww ■■■ ww ww ■w wr ww ww iw r[. ww ww w� <br /> Advanced <br /> GeoEnvironmental' Inc. <br /> CHAIN OF CUSTODY RECORD <br /> .�. <br /> Date Page _�_ of—_I <br /> of Nr3nlrenr Calrfrinrra <br /> 1803 West March Lane Suite A Stockton California 95207 (209)956-0264 Fax(209)956-0700 <br /> 7a5 Cs <br /> Client � � Project Manager <br /> K t v f v, p4 h) Tests Required <br /> Phone Number <br /> 0�0q) q5-6 0169 <br /> Samplers (Signature) Invoice <br /> Project Name L e t v r u I �T _ Mad � /- - AGE Q <br /> Sample Location Sample Type Client ❑ <br /> No <br /> Number Description Date Time comp Water Grrab Air Solid Contsf < Nates <br /> r <br /> , <br /> ! <br /> -LI 51 - Y, 30 X y B09fi4--- <br /> LA 60965-- <br /> 1 � <br /> to I X 60966 <br /> 60967 <br /> ! tJ-U 60968 <br /> r <br /> e u, urs e y ( ignaturey <br /> � v Y i9r1a re <br /> L�� Dale/Time <br /> Relinquished by (Signature) LC• �f� C�,,,�y "J,R r � �+ (} <br /> ecerved by (Signature) r/`7�} t ( ° r 7 <br /> Date/Time <br /> Relinqutshed by (Signature) <br /> Received by Mobile Laboratory for herd analysis (Signature) <br /> DatelTrme <br /> brspatched by [Signature} Date/Time <br /> Recurved for Laboratory by <br /> Date/Time <br /> Method of Shipment /] ?� <br /> �-dF2' ' �-_ ( I_„ GI- Laboratory NameSpeo,ar InctionsHER <br /> 4�o�U (�{r M (Ant y { t r <br /> ! <br /> T hereby authorize the performance of the above Indicated work <br /> [CP./T <br /> HEAD SPACE ABSENT,, CONTAINERS <br />