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� � � t. rt.t.t■tr ttttttttt� � �r Iw■■■ �■ I� � � � � � � � � <br /> t <br /> CHAIN OF CUSTOAECORD <br /> Advanced <br /> GeoEnvironmental, enc / ter"c Date �-D-Y- Page Of <br /> 1y, _ <br /> 837 Shaw Road - Stockton, California 95215 - (209) 467-1006 Fax (209) 467 1118 <br /> ClientAJ� VZ2 Project Mana er <br /> r Tests Required <br /> P one Number <br /> 5 -16,74 c90 <br /> Samplers (Signature) Invoice <br /> Protect Name AGE" Client ❑ <br /> Sample Location Sample Type No of ^C <br /> Number Description Date Time Water Air Solid Conts Notes <br /> Comp Grab \ <br /> r � <br /> MW <br /> W -z kik) z <br /> X Y X <br /> �1 MO 164- <br /> .� M�J Ing k X X <br /> elinq s <br /> ad by ( ign ure) Keceived by (Signature) bat /TLm <br /> Relrnq r5 t,�y (S Rece vad by (Signature) Datef ime <br /> GOOD COAIUITIQ1y __.... i' <br /> RaIinqui t@696MMS - ��..,,, CONTAINER Received by Mobile Laboratory for field analysis (signature) Date(rrme <br /> SERVED IN <br /> 'VO <br /> ➢rspalche y AsFR, DalelTrme lReceived for Laboratory b f p [Tfne ,, <br /> Method of Shipment � � Laboratory Name /J�/t e <br /> f G <br /> Special Instructions t I hereby authorize the perform anc of the above indicated work <br /> SCD SEALED&INTACT VIA <br />