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• • i <br /> I Advanced 0 CHAIN OF CUSTODY RECORD <br /> eoEnvixanment�l, Inc. Date----, -� _r_e � e of <br /> -'` <br /> 837 Shaw(Road-Stockton,California-85215- (209)467.1005- Fax (209)467-1118 <br /> Client `� Project A9anager <br /> I t � S�J(A � Tests R t1lPC-t9 <br /> Phone Number t f / / <br /> Samplers: (Signature) Invoice: <br /> Project Name Cavil. 01-1� � � �; � /��;r � �� AGE �- <br /> � . '- t , / Client ED <br /> Sample LocationSample Type <br /> Number Description Cate Time Water Solid Na.of � �! �f ��r/�� �, �� / Notes <br /> Comp. Grab, Air Conts. <br /> JT <br /> get, s e y: 5sonature ecgSva y: ngnature - prfaj7imo <br /> Igelin +fished by: (Signature) Received by: (Signature) r r" DaterTlma <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis:(Slgnatuto) � Dat4(rims <br /> Dispatched by: {Signature) Dote/Timo Roccivgtf r 'aborato]r�' by: f} tClritrt® w <br /> Method of Shipment: j �k ,r r A r Loboratory Na <br /> Special tnatructionc t _ I ftaro thorise tits parformanco of the abovo indicated work. <br /> 9 <br />