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CHAIN OF CUSTODY RECORD <br /> Advanced , rr <br /> CxeoEnyironmental, Inc. <br /> Date Page at_• G) <br /> 837 Shaw Road Stockton,CON fnla-95215-(209)887-1008- Fax(2 00)887-111 a <br /> r <br /> r <br /> Cherii _ 1 Project Manager Tema Required Ln <br /> Phone Number _ <br /> Samplers. (Signature) Ifw(xco m <br /> Project Name s - AGE <br /> ! 1 t } Client Elm <br /> Sample Location Sample Type No of <br /> Number Description Date Time Water Air Solid Corns � Nates <br /> Comp Grab <br /> M <br /> to <br /> IPV `a <br /> c� <br /> -� ra <br /> n ) � <br /> e)rnqulf v y Analyte) f eca ve y tgoakws Oatelrrme <br /> ve— <br /> Ref nqutshad by gnalare) Received by (Signature) 1 s i Dotorrime <br /> r F <br /> e Inqu A m by (Signature) Received by Mtahtle Laboratory for held analysis (Signature) t)YtajYime <br /> Dispatched by 131gnalura) ate/Tlnta for LabolEflofy by 0904frlme <br /> D <br /> Method of shtpmaril Laboratary i+lern! - G1 <br /> Special Instrucnons I hereby authafite the parfolmanae of Me above indicated work cc <br /> �`. e; 4 <br />