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Advanced CHAIN OF CUSTODY RECORD <br /> �- CleoEnvironmental,-Inc:----- -- - <br /> _. -- ---- -- -Date- -2 . r :�-'--Page --- <br /> - -` = of Nnrrlion California --- m <br /> IBM Wesl March Lane,Suite A-Stockton, California-95207-(209)956-0264-Fax(209)95"700He <br /> Client Project Manager <br /> ,jz Tests Rae u+red <br /> Pho a Number D <br /> Samplers: (Signature) Y Invoice: -n <br /> Project Name r Z, AGE 3 <br /> /V\ Client <br /> - - - Sarnple Type �� g <br /> Sample - Location . . -_ . - - � - <br /> Number Description Date Time —Water -- - Solid No. of <br /> Comp. Grab. Air Corlts, / I 8 <br /> CC p o 1 <br /> J6 _ <br /> X_ X_ 56 8 0 2 <br /> 5-6 -- <br /> ,, Z - -- - t 5680.4- - <br /> /0' (10125fir' I Z •`�' I 7 <br /> Las <br /> f 10 <br /> �5 � .zo�t s �r' 56806 <br /> b -- - — -- --- — <br /> e'r�qurs a y pnewo, ace y: iyna ure <br /> r > <br /> Relinquished (S eture) Oitfglved by: (Signa ura � <br /> efinquished by:(Signature) Received by Mobile Laboratory for field analysla:(Signature) Date/Time <br /> L1 <br /> Dispatched by:(Signature) Oate/Time Tceived for a orator – `— –` D <br /> y by: Oate/Tlme Ul <br /> Method of Shipment: — _ - ) <br /> r� Lebaratory Na e <br /> CD <br /> Special Inslruclians: I_hereby eulhorire lh perfo(tnance of the above Indicated work. <br />