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Advanced CHAIN OF CUSTODY RECORD <br /> — , ':'� i 1i <br /> Ueor-nvironmental, Inc. --------t— _J_ <br /> C�::i 4005 North Wilson Way-Stockton,California-95205-(209)467-1006-Fax(209)467-17. <br /> ClientLTu Project nager --,�"s Required <br /> C� <br /> Phone Number <br /> Samplers: (Signature) Invoice: <br /> Project Name AGE <br /> Client ❑ <br /> Sample Location Sample Type No. of <br /> Number Description Date Time —Water Solid Notes <br /> COMPT_a,`ah Air Copts. <br /> 52450 <br /> 1F ISE <br /> AS,4- VAT N <br /> GOOD etrivulilup�--r– I Q=PRO'HI <br /> QABSEVT I <br /> _F ((Signal r­f��) � HEAD SP <br /> Relinqu hed by:_(Sigpl6ture) Received by: (Signature) TA Date/Time <br /> Relinquished Fie <br /> ..iv.d by Mobile Laboratory for field analysis;(Slgnature) Date/Time <br /> Dispatched by: (Signalurt!) <br /> Date/Time rued for Lsbo I yby;l Data/rime <br /> �Gthod of�,Shipmant 70L.M ' <br /> Laboratory Nam <br /> SpAnecipt Instructions: (( CA <br /> I hereby autho,I the PeFinr -nos of a ova indlG&ted work. <br /> A <br />