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�■ r r r i• i• r r r r ri. Ir <br /> � CHAIN OF CUSTOD*ECORD <br /> i <br /> ( Advanced <br /> GeoEnyironmental enc. Date O�-014-01 Page <br /> 837 Shaw Road- Stockton, California-95215-(208)467-1006 - Fax (209) 467-1118 <br /> Client NC 36 Oe . Project Manager Tests Required <br /> I I L 1� <br /> Phone Number <br /> ao� -`�c• 7 - lo�� �a <br /> Samplers: (Signature) y Invoice: <br /> Project Name AGE n <br /> j i Q L6 i e Time Client p <br /> e <br /> Sample Location DatSolid No. of � <br /> Number Description Water Sample p <br /> C.P. Grab. Air Conts. Notes <br /> �►� o�dy� a � 1� 5 X 1 /1 79462 . <br /> E <br /> 'Mw oo��yol -So5, X X -79463. <br /> F <br /> �WZ ®II 01a40i yds X X X 79484 <br /> 0?1401 1(010 -X TX <br /> 01)401 15`IQ <br /> w,s oa � it3 k X <br /> 79, - <br /> 79467 <br /> Fish u ec ve y: gn t re <br /> _ Dafalrims � <br /> '-:& s �• <br /> e nqu shed b : (Signature Recelve by: (Signature) Datafrima <br /> AMM40shed by: (Signature) Received by Mobile Laboratory for field analyais:(Signature) T Datefrime <br /> Dispatched by: (Signature) Datelrime Receiv d_fnr aborato`�by: D I Iflme <br /> ' A(kJ 1 _ t S o rv_ <br /> Method of Shipment: VGA I9G l INS OTNEA Laboratory arae <br /> Z PRE RVATION <br /> Special Instructions: ITIONV APPROPRIATE i hereby authorize the orlarmance of the above Indicated work. <br />