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� I! 1� � n� 1I!• � fa s• � � � 1• � � � <br /> Advanced CHAIN OF CUSTODY RECORD <br /> - CeoEnvironmental, Inc patio S I Page � of—( <br /> 837 Shaw Road Stockton, California- 95215 - (209) 467-1006 - Fax (209) 467-1118 <br /> Client Project Manager <br /> < ff ��' <br /> Tests Required <br /> L <br /> Phone Number <br /> Samplers. (Signature) invoice <br /> Project Name �iJ '� AGE 4�1_ <br /> Client ❑ <br /> Samp a ---Y <br /> Sample Location Date Time No of <br /> Number Description Wate1eb Air Solid Conts 83768 <br /> Comp <br /> Gr <br /> 8376 <br /> / 3 - 83774 <br /> ly ',/Ste) !/Sif Z ss 83771 <br /> ICA)s ��/ro i �!'/3-a I Z - !� 83772 <br /> ernq a y ( gnaturey 11-ea-dr-ye- y gnatura <br /> DatolTk <br /> ::Z&� <br /> ReffffqTishod b gnat ) Received by (Signature) �� nata ime <br /> Relinquish y (Signature) Received by Mobile Laboratory for field analysis (Slgnalura) Qale/rtrna <br /> Qrspaiched by (Signature) Data/Time Received for Laborato y t3atelfrma <br /> Method of Ship ma Lab story Name <br /> � <br /> Spooial Instructionsld i hereby a ize the per mance of the abovo indicated workTO <br /> l <br /> GIOD <br /> HEAD CPKE ABS ,1 _ <br />