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Advanced CHAIN OF CUSTODY RECORD : <br /> - —,.- GeclEnvi ronmental, Inc. <br /> Date A-2-9>'- Page r�- of t <br /> qf Nnr7henl Calf ontrrr <br /> 1803 West March Lane, Suite A-Stockton,California-95207.(209)956-0264-Fax(209)956-0700 &tomo f 6e� 40 <br /> Client �- Project Manager Tests Required <br /> Sr _ Lr <br /> Phone Number <br /> o� <br /> Samplers: (Signature) Invoice; <br /> AGE [+�� <br /> Project Name K Client ❑ <br /> Sample Type ,/ <br /> Sample Location Date Time Water Solid No. of Notes <br /> r I <br /> Number Description Comp. Grab. Air Conts. <br /> 66796 ;. <br /> fr l <br /> we <br /> X629kA7 <br /> r t <br /> v KW <br /> r <br /> I • <br /> e mqurs ay: (Signature) a y; _rgna e r / (� �DatelTime <br /> Date/Time <br /> Relinquished by: (Signature) eived by: (Sig cure} <br /> Date/Time <br /> Relinquished by: (Signature} Received by Mobile Laboratory for field analysis: (Signature). <br /> Dispatched by: (Signature) <br /> Date/Time Received for Laboratory by: Dnte[Time <br />' :Laboratory Name <br /> Method of Shipment: <br /> Zec�r-Vecl .Self e 9�Y f <br /> ,Hereby authori a the peribrrmance of thwabovv,lndicrfted'work. <br /> Special Instructions: <br /> 2U1,�- - 49 <br /> 690 <br />