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Advaizced CHAIN. OF CUSTODY RECORD <br /> --_ GeoEnvroliimentai Inca . Date ����13 Pa9e ofs <br /> 4005 North Wilson Way-Stockton,California-95205-(209)46,7-1006 Fax(209)467-1118 , <br /> I ana er r , <br /> Client Project M <br /> ,5r t` r . f ''Tests Require . <br /> s �t �. E Phone Number ,, <br />{ Samplers: (Signature) invoice . };- <br /> AGE [J <br /> t N <br /> Project C <br /> t Clie tt❑. <br /> 'r Sample ' : Location N Sample�'Type No :of , <br /> F Date Time. Water Solid Notes- <br /> Number Description com c <br /> Comp. rab. Air Conts. <br /> r. <br />'t.-._ _ _ '�-� -mer"+a--� :—,�n,c., x�,v --.,- .+�..'i«w x,�r•'.-':.a Vii..''-^q,..r ,: ..,r"+'�.`,�- ,c .ti".:,?N.: ...z-r.. .�— _.. ..._... .`.:.�W.e '�' x�!—a i _ �•^ '_w <br /> rIFUT1 er <br /> o+ qu, y: ( n ture) '1 eceived y. Ionature)' - - !D 1Tim <br /> Relinquished :-{ gnature) R ceived by: (Signature) ��' t Date/rime <br /> J. <br /> Relinquished by -(Sionature) Received by'Mobile Laboratory.lortield:enalysis: (Signature) s Date/Time <br /> Dispatched by (Signature) i'. Date/7irno Recoived tdr La.botalory by.' Daie/Time <br /> Method of Shipment; r Laboralory'Nam+t: <br /> I Special Instructions: 1 hereby authorize the performance of the above Indicated work. <br /> �� t i..... �. <br />