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{ Advanced CHAIN OF CUSTODY RECORD <br /> GecEnvironmental, Inc. Date b'a -00 page <br /> of <br /> 4005 North Wilson Way-Stockton, California-95205-(209)467-113 - �09)187-1118 <br /> ClientProject Manager A^ <br /> /�I�f^� TestsRequlred <br /> Phone Number <br /> Project Name <br /> Samplers: (Signature) <br /> - � Invoice: <br /> � <br /> AGE <br /> Sample Location Sample Type <br /> Client ❑ <br /> Number Description Date Time Water Solid No. of C <br /> Camparab, Air ContS. Notes <br /> I ISS \ 46231 <br /> 46232 <br /> (�� x 46233 <br /> 46234 — <br /> '�- ao ( 46235 <br /> eingwa a y: i9natwe . 46236 '� <br /> J eoefve y: rgnature <br /> s� YdT OaloRlme <br /> ReRnquis a hy: (Signatu } Y C (Signature) Wi <br /> VOAS 0&G b ;. �` til DalaR;me--- <br /> e (Signet ) rpt. i obile Laboratory for field anal eb: (Si nature) <br /> Qi1�IC�i'vlTb�"! PS"Ki�niATE y y g Daemme <br /> h `tut I i DateMme <br /> _._ alp{a�lved for Labors y py; <br /> Method of Shipment. �1 1 <br /> aboretorrryyy Ne <br /> Cr.SSI Ini:::1.::OnE: - Vt l <br /> I hereby authorize the prior a of the above 7ndicaled work. t <br /> V �� f <br />