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Advanced CHAIN OF CUSTODY RECORD <br /> Gbe 13 �_ <br /> ' eoEnvironmental, Inc. Date page of <br /> 837 Shaw Road-Stockton,California-95215-(209)467-1006-Fax(209)467-1118 ©( _-'' <br /> Client 131 t1 Le v,&r am Project Manager g Tess Required <br /> bzr}- fru <br /> Phone Number c o <br /> (ZCq) gle'l-Iot <br /> Samplers: (Signature) �`tn b h Invoice: <br /> Project NamePre T} !! ff� <br /> LC v dfiAvyt t'z L t� \ l� AGE <br /> Chem E3 <br /> Sample Location Sample TYPe No.of <br /> Number Description Date Time Water Air Solid Coms �A Notes <br /> Comp. Oreb. <br /> P- <br /> IA -G P- IF}-iiftw4ok P {� Ol G`j- mlX 1 E}cac� <br /> ?-It -to IT0473 X <br /> Q- i If 0(i 32— <br /> P- IA-z it 1t t X <br /> i <br /> P-2 -G P 2 rw, �al� � �►� liL3 � <br /> ,t 11 1, 11 <br /> p.2-15 a IT a t IT jof3 S <br /> helinqutsbect by. ignature) lilassns y: ignatureDae/fi e <br /> r,t ft-13-U- 1WC <br /> Relinq 'shed by: (Signature) Received by: (Signature) Dawftima <br /> S ,'r Ar --- <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis:(SigtraWre) Date/Time <br /> Dispatched by: (Signature) Date/Time Received or Laboratory Datefrim <br /> Method of Shipment: Ckt, Naugle La tory Name CM, Tr c 4 <br /> Spacial Instructions: l I hereby authorize the performance of the above indicated work. <br /> a <br />