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t- <br /> - <br /> Advanced CHAIN OF CUSTODY RECORD <br /> GcoEnvironrnental, Inc. °tee r�1 v1e r --� C <br /> 837 Shaw Road-Stocklon,California- 195215-(209) 457-1006 Fax(209)467-1118 <br /> ` Rl <br /> Client Project Manager <br /> Tests Required <br /> Phone Number <br /> Samplers: (Sig ature Invoice: <br /> Project Name � f��� ��'' �� � / AGE ❑ <br /> �JC��"�✓� G(J!h ur Client <br /> Sample Type <br /> Sample Location No.of a <br /> Number Description Date Time Water Solid Air Coats. Nates <br /> Camp. arab. n <br /> PA/_ rKktid ,C[te �n�JtK •� l�..s i?�.aZ/}+r1 f Y00'oYr f .1u+r lit fjn''{y/r�.Y✓� <br /> t � �w' <br /> s rngw6 aSig slurs ssety gnat fil <br /> t]alerrlms <br /> *I u e by: (S al fy iv b 1 t e) RalerTlme IT% <br /> N <br /> frolincldlAid by. qnslurbJReceived by Mobiis Laboratory for field analysis.(Signature) Date/Time ti <br /> N <br /> Dispatched by:(Signature) QatelTims 78-Te�ol <br /> a o lory,b <br /> patelrims <br /> C 941 <br /> Ntathod of Shipment: , �r Laboratory Name <br /> -a Spatial Inelneolloner I hereby authorize the parlormenos of the ab loated work. m` <br /> r <br />