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,_ tfillifif■ lfiiiii� �■ � f� f_ ff� � � � � � � � � � <br /> ( Advanced !J odf <br /> CHAI O CUSTOD&CO D <br /> GeciEnvlronmental, Inc. Dace Page <br /> 837 Shaw Road - Stockton, California-95215 - (209)467-1006 - Fax (209)467-1118 <br /> Client Pumect manaper <br /> ` Tests Required <br /> LL <br /> one umber <br /> "STARers (Si nature) Invoice <br /> Project Name AGE <br /> Pro <br /> 1 Client ❑ <br /> Sample Type <br /> Sample Location Date Time Water Solid No of Notes <br /> Number Description comp Grab Air Conts <br /> Re inquishafel V <br /> inot ra) Received y rgnature DalelTime - 1 <br /> Relinquished by (Signature) Received by (Signature) Date/Time (/f�LJJJ <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) r Date/Time <br /> Dispatched by (Signature) Date/Time Recewed for Laboratory by�2 Date/TAt A <br /> i s <br /> Method of Shipment r Labor o oma / <br /> t <br /> Spectral instructions 1 here y aut orize a pert rmance of the above indicated work <br /> LL <br />