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i i i i i Ili i� Ifs Iffffffff� ■� t� lrfllll� 1, t�t>, e>_ �.■ � <br /> l <br /> Advanced CHAIN OF CUSTODY ECORD <br /> JOAGeoEnvironmental, Inc. Date Pass —/— of <br /> 837 Shaw Road - Stockton, California- 95215 - (209)467-1006 - Fax (209)467-1118 <br /> Client - (G C.v�,� Project Manager c Tests Required <br /> Phone Number <br /> eo? f/67 /ac�t'� <br /> Samp ers (Si ature) Invoice. <br /> Project Name AGE <br /> 1,17 C,�jAt6 Client ❑ <br /> Sample Location Sample Type No of <br /> Number Description Date Time Water I Air Solid Conts Notes <br /> Comp (arab <br /> nC) JC 78832 <br /> Be InquUhad by isrgnature Received by (Signature) Date I <br /> VZ f/o co <br /> Rehnquishad Vy (S nature) Received by (Signature) F 'n Date ms <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Dale/Time <br /> Dispatched by (Signature) Date/Time I'lecolud for Laborator y ate/Time <br /> Method of Ship me / �O MEW OTHER L rat ry Name <br /> q�'e <br /> 4L'/ <br /> at nF%rPFA PAT—' <br /> 5paciai Instruction -- MtXIVAI lull I hereby authorize the performanc of the above Indicated work <br /> G OD CONDITION ,APPROPRIATE <br /> HEAD SPACE ABSENT----K CONTAINERS <br />