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CHAIN OF CUSTODY RECOR>, <br /> "Vanced <br /> Date 'Page <br /> F <br /> GeaEnironmental, Inc. <br /> 4005 NxrthWilsoti Way-Stockton,C2ljlorllia-45205-(209)467-1006-Fax(209)467-111 B <br /> Client <br /> f <br /> Project Manager Tests Required <br /> 171 <br /> Phone Number v. <br /> A/ <br /> Samplers: (Signature) fivoic <br /> G E-: <br /> Project Name [Ala, <br /> Sample Type <br /> Sample Location Date Time —�Vater No.of Notes <br /> Number Descriiption Comp. Air Cants. <br /> If <br /> It'll 1, 1z Cn 1/ 30 Y\ <br /> jq�J 51-11 <br /> ne 1 i rj%urs 5 1- fleceivcd by: (Siqna1m(-)* <br /> qed jy. (SigriaLui <br /> Relinquished by <br /> Relinquished­ FJY-�(S'W�iltule) liereived by Mobile Laboratory IiDr field analysis:(519naluts) <br /> Dispatched by: (Signature) 0 al P[1 I rn e Received lor Laboratory by. <br /> -Method of-Shipment: Lsboiatosy Narnt, <br /> Special Instructions: I hereby authorize the performance of the above indicated work. <br />