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CHAIN OF CUSTODY RECORD <br /> Advanced Daae C1` Rase of <br /> CaGeoEnyironmental, Inc, <br /> 937 Shaw Road-Stoaklon Caldornfa 95215- (209)467 1006-Fax(209) 467-1118 09 ..� <br /> Client <br /> l Prnpat manager Tests Required <br /> Ptwm Dumber <br /> piers red � Invoice AGE C� <br /> Project Name kF,)EA I —Ckent C} <br /> SampieType No of � f�ntes <br /> Sample Location Date Time Water Solid <br /> Number Description 1—comp I Grab �Ur Cnnts <br /> h(a 104 3 <br /> Awl C <br /> iz <br /> S 42- <br /> 1 1 I __ 0 L Iopo. { <br /> �Ra <br /> qua } seeive y $nature) <br /> 1 L3�'f <br /> Batt Ime <br /> inquisha y { +gna re) Received by (Sipnatura) <br /> thdorTim e <br /> Rehnqu+aped by {S+gnatu[e) Reaelved by 1+llobila Laboratory For finld analyala (Slgnelurs) <br /> Datarfimo Received lar Laboratory Iry //�� ` b�yeins LiC{+}aQ <br /> n..--...w..a J. IC.nnflirN1 /! . f!. 4 Y� iSL"I <br /> O 454, <br /> D Method of$hipmanl � r' 1b �'1� "■ <br /> � Spacial tnalruauona <br /> �_ 1 hors eulhatis+the •rlormenoe of the apav indicated work <br />