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{ Advanced CHAIN OF CUSTODY RECORD ^ <br /> ` - GeciEnvironmental, Inc. Datel Z Page 4- of ` <br /> 837 Shaw Road- Stockton,California-95215- (209)467-1006 Fax (209) 467-1118 <br /> Client Project Manager <br /> Tests Required <br /> Phone Number <br /> Samplers (Signature) Invoice. <br /> Project Name AGE 4, <br /> L <br /> Client ❑ <br /> Sample Location Sample e <br /> Number Description <br /> Date Time Water Air Solid No. of Coles Notes <br /> Comp prab <br /> i &sj X121 <br /> a 2-t- /�,3c 7< <br /> �t.vl0 �3 <br /> V0;_!Z <br /> OIL <br /> e anqu s y ion e me Ived by (Signature) J <br /> �y� DatelTim <br /> eiinqurs ed by (St gViorI Received (&Ig f *'67F 1 Sid f <br /> kl,ill`t� �� Date/Time <br /> J } S <br /> Relinquished by (Signature) for livid analysis (Signature)1"kUSPACLp2t T_ ftt� Date/Time <br /> Dispatched by (Signature) Date/Time e d lar.Laborat r by Date/Time <br /> Method of Shipment boralory Nams <br /> C <br /> 5peclal Instructio I hereby authorize the performance of the above indicatgd work <br /> i <br /> i <br />