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CHAIN OF CUST D <br /> Advanced O OECORD <br /> GeciEnvtronmental, Inc - �, Ll Cf ACS- Date Z Page of <br /> 4005 North Wilson Way-Stockton,Cahfomta 95205-� 9 4 <br /> ) fi7 1006-Fax(249)467 1118 <br /> Client � Project Ma ger <br /> Tuts Required <br /> Phone Number <br /> �nq `606 <br /> Sam rs (Signature) Invoice <br /> Project Name44- i AGE, <br /> f J 6L f '� Q( / Client ❑ <br /> � <br /> Sample Location Sample Type Na of <br /> Number Description Date Time Water Air Solid Conts Notes <br /> Comp Grab <br /> 60873 <br /> eit <br /> '� 1 1 - '! 60074 <br /> 60875 <br /> A � 2_- r 60 17 fi <br /> J. 60877 <br /> r z_ X, 60078 <br /> 60679 <br /> -L5 <br /> Ree inquis y (S natur ) ecer Od by ignature Qa ITtme <br /> ;t�: <br /> Relinquished by (Signature) IF Received by (Signature) <br /> Dill te(Ttme <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysts (Signature) <7-7 t.w�, Date/Time <br /> Dispatched by (Signature) Date/Ttme Received for Laboratory by <br /> . OatelTtme <br /> Method of Shipment ) ,} LaboraloryWa <br /> 1 �C' <br /> M <br /> Special Instructions ( I hereby auth rrze he pert ance of he above Indicated work <br /> I <br />