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• CHAIN OF CUSTODACORD <br /> Advanced <br /> GeciEnvironmental, Inc. Date Page or <br /> 837 Shaw Road- Stockton, California- 95215 - (209)467-1006- Fax (209)467-1118 C)S r 2y <br /> Client —�,c.Q-,� Prol A4anager Tests Required <br /> 3 L WOL4A <br /> one N UTlr <br /> Sa leis (S nature) Invoice <br /> r� AGE <br /> Project Named u Client ❑ <br /> Sample Location Date Time Water Sample Type Solid No of Notes <br /> Number Description Comp crab Air Conts <br /> 7- �C <br /> Sri,Te Vn re/ ecerve y (Signature) QatelTim <br /> c �(aw <br /> Date/Time <br /> Re cashed by (Signature) Received by (Signature) <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Date/Time Received for Laboratory by Date/Tim <br /> Dispatched by (Signature) <br /> e <br /> Labor ams <br /> Methal oEwhvpEme�nt <br /> Specialtj-er I har lVauthe rmance of the above indicated work <br /> �e- <br /> � ��-- <br />