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tfifififf� tf� twlfw t� f■� �� ■� � � � � ttfft>• ftl• � � � tfi• �! � <br /> � <br /> CHAIN OF CUSTODY RECORD <br /> Advanced <br /> GeoEpyironmental, Inc Date tz-u- O Page 2 of 2- <br /> 4005 North Wilson Way Stockton California-85205-(209)467 1006-Fax(209)467-1118 <br /> Project Manager <br /> Client � �� �.�-� r Tests Required <br /> I 1 %� UL' Cw(' <br /> Phone Number � <br /> ao`t - L-16I - Iad(,, k <br /> Samplers (Signature) Q) Invoice <br /> Project Name �� �J AGE E9 <br /> C A \ s, IOU Client E]�. �-� <br /> Sample Lpcation Date Time Water Tpe <br /> golid No ofReses <br /> Number Description comp Grab Air Conts "> <br /> 56941' <br /> %�"'r izi �'1W- Iz-zl-[1U +335 �. 3 � � <br /> II � i56942"' <br /> MV4 / IZ-2 i-vu 1250 X 3 X X <br /> 3 X � 56943 ' <br /> hw / �221ao rAW - Ii2-zt-uG 1125 ` 6 <br /> 944 <br /> VAWIOJ <br /> 116 10-15 X xI <br /> V L21ua �n ��Jj <br /> MW i2 / 12210 �'�In1- ft_zt-pty 1,400 /1 3 A ; 56945' <br /> X 3 X1 56946'<, <br /> elan s e y ( lgnature} Receivedy (Signature) p DateMme <br /> �}can�lar <br /> tz-1:-00 f C081s <br /> Rek lshed by (Signature) Received by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Dato/T1me <br /> Dispatched by (Signature) DatelTlme Received for Laboratory by Data/Tima <br /> Method of Shipment Laboratory Narr <br /> ff 0L, / r C c a r'„1 e <br /> Special InstructionsAC 08,G I,"r?,k1' 0TIIF1 hereby auth riz the performance of the above Indicated work <br /> Iffhe <br /> ri,i) Ali ri it ii wi t w <br /> r r 1 ai n 11611 <br />