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AdvancedCHAIN OF CUSTODY RECORD <br /> _ <br /> GcoEnvtronmenlal Inc 0`7a, ? oate � Page fnl 0 <br /> w <br /> �rJ 837 Shaw Road Stockton California 95215 {209) 467-1006 Fax(209)467 1118 3 <br /> 6 <br /> —— <br /> CD <br /> 1-1 <br /> Project Manager Tests Required F- <br /> Cllfant ---- - � 4.41 <br /> Phone Number f/ K <br /> ,, M <br /> - -__-- Sarnpiers (Signature) invoice� / <br /> AGE E] H <br /> Project Name ( � �' / Client ❑ 'a <br /> —-- Samp4e Type No <br /> Sample Description <br /> Date Time Water T Solid o °� j ! Notes <br /> Number D85Cf i�]tECn Comp arab Air CDntS <br /> 1 <br /> it-7/eL <br /> M <br /> m <br /> L <br /> C <br /> A� C' - <br /> N <br /> sce,va y rgnatufa J-- t3a 0(rlme <br /> e rnyu, • y 9a�ature — <br /> _ pelelTime W <br /> tielie,quished by iSrgnature) - rlecelved by (Srgnaiure) <br /> Rehnqshed by 1Srffnature) Ilecerved by Mobile Laboratory for field analysis (Signature) OatelTima <br /> ui <br /> -- — UstejTima Raaeiv d or 1pborator�by ia(Time <br /> [)rspatched by (Signature) IV eo f <br /> — "'� / L oral ry ame <br /> m <br /> Method 9r 8hfprnanl <br /> - 11te J�►/A�� m <br /> I taeraby auth ze the Pe ormanc of the &have Indicated work QI <br /> Spoclat lnatrueUons <br /> 1 <br />