Laserfiche WebLink
( Advanced CHAIN OF CUSTODY RECORD <br /> GeciEnvironmental, Inc. Date 00;4Page __4 of _ <br /> 837 Shaw Road-Stockton, California- 95295- (208)467-1006- Fax(209)467-1118 <br /> Client P Pro ect Ma ger <br /> /Z Tests Required <br /> Ppene N mber <br /> 77 <br /> Sa es Signature) Invoice- <br /> Project: Name '! � AGE 2r,", <br /> Client ❑ <br /> Sample Location Sample Type <br /> Number Description Date Time Water Air Solid Corns Notes <br /> Comp t3 rah <br /> �r <br /> e n s =re Hecelve r nature) <br /> O*at <br /> e ime <br />� Relrnquls ed by (S gnat iv) <br /> Re d y (S gnature) Rima <br /> Reirnquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) Dale/Time Reca v id for Laboratory by <br /> Daie/Tifia <br /> Method of Shipment f Labotory Nem <br /> Spacial Instructions I hereb thorize a eriarrnance of the above Indicated work <br />