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• CHAIN CUSTODOECORD <br /> j Advanced CA � / Date L3 Pa 9 e of <br /> _ � <br /> --= eoEnvironmental Inc. l <br /> 837 Shaw Road - Stockton, California- 95215- (209)467-1006- Fax (209)467 1118 <br /> Client Pro ect nager Tests Required <br /> Pone Number <br /> Samplers: (Signature) ' Invoice: <br /> AGE b' <br /> Project Name �,�� .- , t �, �1J Client,0 <br /> �s3?` <br /> Sample Location Sample Type Solid No. of �r t Notes <br /> Number Description Date Time WaterComp. Grab. Air Conts. t <br /> '�Lt�l��l l J��tuS �✓�; l� ��3i��� �r �� � -� <br /> 68 <br /> u l � <br /> 'PAIL" <br /> T <br /> 3 } (4, <br /> O mac) <br /> ecerve }y: ,gnature Date/Tim <br /> elipgttis a y: ( at <br /> Date/Time <br /> Received b <br /> Relinquished by: (Signature) Y: (Signature) <br /> 7- Date/Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) <br /> Date/Time Receiv d f r aboratdry_b �J Date/Time <br /> Dispatched by: (Signature) I �' <br /> Laborator Name <br /> Method of Shipment: CA C1 % /,l r 1n i ZN,,— ( <br /> C/ V V� I here authorize the perfor the above indicated work. <br /> Special Instructions: ✓� <br />