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� <br /> CHAIN OF CUSTODY RECORD Advanced _ <br /> GCOEnvuonmental, Inc. Date Page -� of <br /> 4005 North Wilson Way-Stockton, California-95205-(209)467-1006 Fax(209)467-1118 <br /> Client Project Manager <br /> — t 1 Lr'Dr��L �'7-���`�� � Tests Required <br /> 7-1 rel Lu i~LLA q <br /> Phone Number <br /> (20) q6•7- 1AOC-,1 0 <br /> Samplers: (Signature) Invoice: <br /> Project Name 4� ! 18�JAL 'F�-ElL7f-(Tf� � :b ,�j� �1lb� ,r��P AGE N?( <br /> Client ❑ <br /> Sample Location Sample Type 4) <br /> Number Description Date Time Water Solid No. of ( L id tip! � Notes <br /> Comp, Grab. Air <br /> I <br /> Nt - I G� �5 ' -(S-Gi5 2 � �( X X - - 4.5275. <br /> MWZ_- to mvi-Zi,-" t o ! X X .4527 _ <br /> >x � � X � � X - 45277 <br /> I <br /> wz- 30 y K y x X 45278 <br /> ( -6-cL) y: ZI x x x 4-5279_._. - <br /> M W2 6 9' 3.7 X I <br /> x X K x y- ; -- -_45256 <br /> wf 2- 753 �S ' -�s `� 55 k X k X y 4528 <br /> Riplinquis ee :i{ ig etureJ Received y: Ignature) uatel i ime <br /> Relinquished by: Signature) Received by: (Signature) Date/Time <br /> p <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) date/Time <br /> Dispatched by: (Signature) Date/Time Received_lpr Laboratory <br /> ` �n ale/Time <br /> Metlrod of Shipment: Labor ry Name <br /> JUMP H <br /> Special Instructions: t hereby authorize the perlorma ce of the above indicated work. <br /> _ ICEliv PRESERVATION .•, _ . <br />