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y" CHAINTIC%61 <br /> CUSTODY!i-i `iECORD <br /> Advanced Jcr,�QDatepage of <br /> GeciEnvi�ronmental, Inc. ��� j <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467-1006-Fax(209)467-1 <br /> 00 <br /> Client Pr je M <br /> ger Tests Required <br /> Ph e Rumber hh <br /> Zoo <br /> 1 <br /> rt Invoice: <br /> am : (Signature) <br /> Project Name �{ / Client <br /> ElkLtb (�[ Sample Type <br /> Sample Location No. of <br /> Number Description Date Time Waier Air Solid Conts. Nates <br /> Comp- Grab. 58415 <br /> d-- ol-IgA -0 <br /> 58417 <br /> 58418 <br /> V M 5809 <br /> fir <br /> 4,41.4 r j 5®42D <br /> W -! I <br /> l <br /> A. <br /> e rnmyi net re Received y: (Signature) Date/Timis <br /> Relin wished by: (Slgnature Received by: (Signature) DateJTime <br /> { <br /> Relinquished by: (Signature) Received by Mobile Laboratory for Ileld analysis: (Signature) ! DalelTime <br /> Dispatched by: (Signature) DatelTime R cel ed for.Labor or y: I Q DatelTime <br /> 123 <br /> Method ol'Shipme' L boratory Name IAC I <br /> Special instructions: V O&G CALI OTHER I hereby authorize the Wrformai ce of the above Indicated work. <br /> mi <br /> '4— I <br /> SMD CONDITION APPROPRIATE ,YIJt� <br />