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l J l 1 CEJ Lam) l J [ 7 lam) L—] L J L LTJ l�J �1 (�J "CSE) LIM 11 J LTJ 1�11 <br /> *Advanced CHAIN OF CUSTODYWECORD <br /> _ - GeciEnvironmental, Inc. Dale Page —L- of <br /> of Nonhern Caltfontta <br /> 1803 West March Lane, Suite A-Stockton, California-95207 (209)956-0264-Fax(209)956.0700 a7 X �, 04. 0 G <br /> Client C herak <r �-t�G S Project Manager f.�e Vi <br /> � G�� C� Tests Required <br /> Phone Number �"� f"f <br /> Z07--V-6-aZ�'q <br /> Samplers (Signature) Invoice <br /> AGE)K <br /> Project Name { f Client ❑ <br /> Sample Location Sample Type Date Time Water Solid No of sUntP� <br /> , <br /> Number Description Air Cants <br /> Comp Grab r 78087 <br /> -808` <br /> Md4 ,fie,; Vc f 2 <br /> k - `� �I — r✓j ��5 t,' r r 7808g <br /> He m is e y (Sr ature) ed y ( ignat Q7 q-7 <br /> Date/Time <br /> ,Gcdc. / curd. o. zV�� S k 3%4d <br /> Relinquished by (Signature) erved by {Signatu e} DatelTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) Date/Time Received for Laboratory by DatelTime <br /> Method of Shipment CCer'IC4 5;eq je4 Laboratory NameB C <br /> f <br /> zc <br /> Special Instruct€onsr � i I hereby authorize the perform nca of the above indicated work <br /> '0111,01 <br /> 1 v <br />