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—� 0 Advanced CHAIN OF CUSTOAECORD <br /> (� Ir � � <br /> GreoEnvironmental, Inc Date Page of <br /> r <br /> \ 4005 North Wilson Way Stockton California 95245 (209)467 1406-Fax(249)467-1118 <br /> Client Project Manager l0 <br /> [4 ts <br /> Tests Required <br /> Phone Number <br /> Sam ler (S€ a re) fit? Invoice <br /> aY AGE C4 <br /> Project Name kq 5, C 1,4 jv rDJ J - Vci vl d-R v� v� Client ❑ <br /> Samole Type <br /> Air Conts <br /> Sample Location Date Time No of �: oV , <br /> Number Descr€ptDescriptionCome ateSolid Grab <br /> y� 1 25492 t <br /> } V,/ - j j� `� I ZOIC ` y �1 i 25493 { <br /> 4f � <br /> l 1JVV-G/ X ' 25494 <br /> Mtw- 7/11-1 - �ct 25495; <br /> 25495 <br /> +1 Mtv->0lr [- o qt� �l <br /> Nttf��t�i lf- o -Kl ' 25497 <br /> rl <br /> 25495 it <br /> 3 <br /> el qh e b (Si nature) ecety d y ( Ioignai ) /� j DatejTme` <br /> Relinquished by (Signature Recei d by (Signa re) DataJf ime <br /> Relinquished by (Sr(inature) Rece,ved by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) Date/Time Received for Laboratory by DaterTime <br /> „Method of Shipment Laboratory Name <br /> M ` CQ 1.10 V, I l <br /> Special InstrucGos,s VOAS � � 1YI�nl� OTHER I hereby authorize the perinrmanca of the above indreat©d work <br /> 11 <br /> Rl�rtKR,,,,�v�v f1 <br /> GOOD CONDITION APPROPRIATE <br /> HEAD SPACE L ..____� � -- <br />