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= Arm m <br /> Advanced CHAIN OF CUSTODY RECORD <br /> _ GPage <br /> eoEn�i ronmental, Inc. Date <br /> 13'�� — os-� <br /> of Nor7lren1 Caltfonrta <br /> 1 <br /> 1803 West March Lane,Suite A Stockton, California 95207 (209)956-0264 Fax(209)956-0700 //Y,;?21 A& 2YR'— <br /> iClient G-MC-L�-MN 'tT �L� Proect Maner <br /> Tests <br /> agAP <br /> Phone Number <br /> � 2e� Gi5{s�OZ(a�I <br /> I <br /> Samplers (Signature) Invoice <br /> Project Name S tZJN BfiPLSAGE l Client ❑IR <br /> i� <br /> Sample Location Sample Type Date Time Water Solid No of V r ,--Notes <br /> Number Description Comp Grab Alr Conts <br /> X5340 i- <br /> P6/ f i 1 <br /> " + 1_4 I 7 <br /> ASPJ-3- 2� <br /> ` I <br /> XEI <br /> 3-�tJ 1 r <br /> e1inqjAshergn.t.T.) Fieceiv i ature /t Uale(Time` <br /> Co <br /> R in u s y (Srg 'at re} R i y ignal ) Date/Time <br /> iv �, �r � co <br /> n ursh d y (Signature} R ,ad by Mobile Laboratory for field analysis (Signature) Dale/Time <br /> Dispatched by (Signature) Date/Time Received for Laboratory by Date/Time <br /> Method of Shipment Labogatpry Na e <br /> Special Instructions rJtrT11 vtt I hereby authorize th perlormance of a above indicated work <br /> —r, r C+ r <br />