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7' <br /> CHAS O CUSTODRECORD <br /> Advanced a ` <br /> GeciEnvironmental, Inc aR)�CA� �s Date Page ot� <br /> 837 Shaw Road-Stockton, California-95215-(209)467-1006- Fax(209) 467-1118 <br /> -= <br /> Client Project Mama er <br /> '� Tests Required <br /> -- P ne umber <br /> Sa p (Si a ure) Invoic <br /> Project Name " f� Ai <br /> Chen� .. <br /> Sample Location Sample Type <br /> Date Time Water Solid No DI Notes <br /> Number Description Comp arab Air Conts <br /> 0J NTADZY.1 <br /> ain ui e y Sig ece ve y ignature <br /> /Tim <br /> Qale <br /> ildu <br /> Relin wished y { gnatu Received by (Signature) T Date/Time <br /> Relinquished by (signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) Date/Time e d for Labo by Dale/Time <br /> 14 <br /> Method of Shipment Laf16ratory yams 4 <br /> -- .. <br /> pe al Instructions - j 1 hereb au horixa pe ormance of the above indicated work <br />