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SO <br /> I �f CHAIN OF CUSTODY RECON, <br /> jZ Advanced � <br /> Ge oEnvironmental, Inc. Date Page of <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467-1006-Fax(209)467-1118 <br /> ' Project Manager 0' <br /> Client � sv�� <br /> oS-� Tests Required <br /> Phone Number—/"die <br /> o� <br /> Samplers: (Signature) 'QO p Invoice: <br /> AGE [v� <br /> Project Name �D� � � //� - Client <br /> SampleType <br /> Sample Location Solid No. of <br /> Date Time Water <br /> Number Description Air Conts. <br /> Comp. Grab. 7i``y <br /> <52 <br /> y <br /> ,. .. <br /> S� <br /> �"--- <br /> �j -� G 5 1 <br /> �o <br /> rime- <br /> Re ingws y: (Wr e rve y: ignature Date/Time <br /> Reli 1 h byReceived by: (Signature) <br /> r� Date/Time <br /> Relinquished by: (Signature) !Received by Mobile Laboratory for field analysi $ .t (�ETIpLS OTHER <br /> Date/Time <br /> Dispatched by: (Signature) IVU Dara/Ti r Epi' cyby_ <br /> GOOD CONDITIOi� <br /> Method of Shipmen . — )' I LobofrlaI f y Na <br /> Special Instructions: I hereby authorize 11 perlormance of the above indicated work. <br />