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Advanced <br /> CHAIN OF CUSTOD ECORD <br /> r � �' � <br /> VleoEnvironmental, Inc Date l( L�to Page of <br /> f, 637 Shaw Road Stockton, California- 95215 - (209) 467-1006 - Fax (209)467-1118 <br /> Client ' Project=\J <br /> er Tests Required <br /> k Let <br /> Phone Number <br /> 7t) �? -100 � � <br /> Samplers (Signature) Invoice <br /> Project Name UJ— a CJA <br /> I eE ❑ <br /> Sample Type ' <br /> Sample Location Date Time Water Solid No of Notes <br /> Number Description Comp Grob Air Conts <br /> tt [C`.ZS X 1� <br /> (t \1 t•Z X X <br /> 7Re <br /> mqas + lure) eceive y ignature pate ime <br /> MClinquished (Signature) Received by (Signature) DatelTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) C4 r\ DatelTime <br /> Dispatched by (Signature) Date[Time Received For Labors ry by Date/Time <br /> t i1- u_vt s a <br /> Method of Shipment labor ory Name <br /> $pedal tti>struettons i hereby authorize the performance of the above Indicated work <br />