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Advanced CHAIN OF CUSTOECORU <br /> 40E, <br /> GeoEnvironmental { �� Dat lPaga1 °fr, Inc. �'���.�,� <br /> 837 Shaw Road- Stockton California-55215-(208)467-1006 Fax (209)467-1118 <br /> Client t4 a� PA Pro act Manager Tests Required <br /> X 17 <br /> -7Phe�'1 mbar 1 / <br /> Nu <br /> Samplers (Signature) 71 / % % invoice <br /> y- I n �J / / � <br /> Project Name AGE <br /> ��R�� NL�� rC�� � ��►t.[�{1 / � ��W <br /> Sample Location Solid Notes <br /> Sample Type No of / <br /> Number Description Date Time Water Air Cos <br /> ot <br /> Comp Grab _— <br /> 11)1615 12 <br /> L fl 121° X <br /> VW V1 I Z 2D <br /> I <br /> Z- <br /> 2- <br /> Relinquished y gnat ace ye y rgnature DaterTime "^ <br /> 41La, PIT <br /> Relinquished by (Signature) Received by (Signature) v' r" a'' Datef ime <br /> Relinquished by (Sign C-07Dt771)N._., ___- --- 1"PR obiie Laboratory for field analysis (Signature) Dataffime <br /> H6ADSPACE ABSEN CONT MFRS <br /> RES VSD IN LA L� <br /> Dispatched by (Signature) Vo,�Q MBLA OTIC Dalerrime boratory by7 D flim <br /> PRESERVATION <br /> Method,pf„Sf�mertt � Labora�ry am� y / p <br /> Special Instruction i I hereby authoriz the performance of the above 4ndlcated work <br /> RECD SEALED&INTACT VIA <br />