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CHAIN OF CUSTOD�-�RECORD <br /> � Advanced <br /> GeciEnvironmental, Inc pate of <br /> Page <br /> I„ 4005 North Wilson Way-Stockton,California-85205-(209)467-1006-Fax(209)467-1116 <br /> Client Project a r Tests Required <br /> r <br /> Phone Number <br /> Sa pler (S atur Invoice <br /> AGE, <br /> Project Name df` Client ❑ <br /> Sample Type <br /> Sample Location Date Time Water Solid No of Notes <br /> Number Description Comp Grab Air Conts <br /> Mw <br /> t a x 28043 L <br /> Mod <br /> 1, �� o x X 28044 <br /> 28045 <br /> if Jggg 28048 <br /> Im , <br /> 28047 <br /> ! � u �r ZI 28048 <br /> e,n s gn tui eceive y ignature Daterrime <br /> r,z,--z/4gi D CrU <br /> DatelTime <br /> q (Signature)Rel uished b nature) Received by (Signature)� <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DstelTrme <br /> r . <br /> Dispatched by (Signature) Dale/Trme Received for Laboratory by Daternme <br /> Labor o Na <br /> Method of Shipment <br /> t��' l I 1 1 hereb authors a dorm ce of the ab a Indicate <br /> Special Instructions F -- - <br /> GOOD CONDITIM�� <br /> ace' c.bd <br />