Laserfiche WebLink
� res: rafts ttret� t� � � � i• t� � � � I� � _ <br /> Advanced CHAIN OF CUSTODY RECORD <br /> _ - GeciEnvironmental, Inc. Date c} <br /> P89e _..I-_ of____I <br /> 837 Shaw Road- Stockton, California-85215-(209)467-i006 Fax (209)467 1118 <br /> Client Protect Manager <br /> ' Tests Required <br /> Phone Number <br /> clJ — t, <br /> Samplers (Signat re) Invoice. <br /> Protect Name � C f 71 <br /> AGE <br /> Sample C Client ❑ <br /> p Location Sample ype , <br /> Number Description Date Time Waier Solid No of <br /> Comp Arab Air Conts Notes <br /> /ham//,B o9 of a� /22,5 7-7358- <br /> /3� �� - - � - _77359 <br /> +��//,p o y 6Q <br /> 74 <br /> __1__ <br /> �Iw/Z 0 7o 70) C� <br /> y 773-62 <br /> � f a� /�-�� y 773 <br /> 63 <br /> e nq 8 y nature eta ve 77364 <br /> y gra urs <br /> 13810111 iv <br /> Rei a by ( in rs) deceived by (Signalure) <br /> Date/Time <br /> Relinquished by (signature) Received by Mobile Laboratory for field analysis (Signature) S- 771-1 . 1 <br /> Date/Time <br /> Dispatched by (Signature) Date/TlmeImeoelvej for a oratory ` t Datefrlme <br /> Method of Shipmen a <br /> La oratory Name <br /> Special instructions <br /> c r! <br /> I hereby au orize the performance of the above lnrficalsd work <br />