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i i• tlt� � t� tlt� � 1• 1• t� t•; I• !• t� l• � gffffffffffs l� � � <br /> CHAIN OF CUSTQD E <br /> Advanced CORD <br /> Date� �� Page 3 of <br /> G . <br /> eoEnvironmental, Inc. <br /> 4005 North Wilson Way-Stockton,California-85205-(209)467.1006-Fax(209)467-1118 <br /> Client Projec anagen <br /> .�� �f` t � t Tests Required <br /> P tie Number ` <br /> [) <br /> Samplers; (Signature) Invoice: <br /> Project Name <br /> AGE <br /> C e_ Ue'. et— _.✓L� � f� Client E] <br /> Sample Type <br /> Sample Location Date Time Water Solid No. of Notes <br /> Number Description comp. crab. Air Conts. <br /> icy 1 - -v <br /> 62958 <br /> VOA . F' LS OTHErR. <br /> ElieES RVQ iOi' I — <br /> COMMON— <br /> ti AD SPA, E AKE'N —_r O NT;,RTT% <br /> Relinquish 111%y: ( nature) ece ve y:-Wig nature) <br /> patelTime <br /> l5d C <br /> Relinquished by: (Signature) Received by: (Signature) baterrime <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) fate/Time <br /> A� <br /> Dispatched by; (Signature) ❑alelTime Received Jor Laboratory by; i rJatalTime <br /> 1 ALitt. <br /> Method of Shipment: /j\ � � Laboratory Name,/ <br /> Special Insttuctiorts: i hereby authariz he peilorma ce of the above Indicated work. <br /> t_ <br />