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rr <br /> I Ovanced CHAIN OF CUSTODIWCORD <br /> CcoDivil OIi171cntal, 1I1C Date 06AA1 _ Page J— of <br /> 4005 N Ah Wilson W-ry Stockton California 9520', (.409)467 ING Fax(709)467 1 110 1 C�1 _' 1 1V <br /> (�[c�' J v <br /> Client Mme_ rLA`L �J'n�eS Project Manager U Tests Required Phone Number <br /> _ —jl 7-/00& 9 <br /> Samplers (signature) Invoice <br /> _ r <br /> Project Name M00� Ire L C , y � y9 / <br /> C rales (S7-oc)c�n?� AGE <br /> 9 Client <br /> O <br /> Sample Lacallon Sample Type <br /> Dalc T1nic Walter Solid <br /> Number <br /> _Z01 No of <br /> umbDescriplion — Air Conis <br /> 04 A <br /> o Al <br /> Cnrnl, Grnh <br /> S' <br /> 3 , <br /> JTU - l — ----� <br /> Sol 4x <br /> r <br /> �? <br /> ¢-JoAs <br /> -- 1 <br /> rf' .lu,s,e ,y r{ t awrn fiecnrvcdTy (L,pn <br /> UeteJllme <br /> ST)Wi40 ( ) -FA Helm shed by (Stgnatu.e) RacprGed by (sign lure) balelTlma <br /> ficlinquished by (5tgnalure) Ilecerved by Mobile Lnbornlory rot hold nnalysis (Srgnnlurn) Dnlel�tmo <br /> Ilr.,patch, d by (51gn7lute) 0a10111110 Itocorvod for Lnborntory by DaleJrime <br /> Method of Shipment r1 J • ���( �fJ�_ry,,,�✓/�{-S}J� ����� Laboratory Nam <br /> T6 <br /> -.--a 6c— Jed e /je- // <br /> � <br /> Special Instructions I hereby aurhoriza Ilia porfr"hbj;Indicated <br /> wo_rrU1rYAJ �11E <br /> 1GU1« -- PRESVATION _ <br /> GOOD C0140I1I N-4-- APPROPRIATE <br /> iD�PACFAaf_ �____ CONTAINERS <br />