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Advanced CHAIN F,C STODY RECO ID <br /> GeciEnvironmental, Inc. p 5 a Date I Page of <br /> 837 Shaw Road- Stockton, California-95215- (209)467-1006- Fax(209) 467-1118 <br /> Client Pro' ct Manager <br /> �.l Tests Required <br /> P n Number <br /> t(O 160 i <br /> Samplers: (Signature) i Invoice: <br /> Project Name AGE <br /> Ct I 'JCliert <br /> Sample Location Sample Type <br /> Number Description Date Time Water Solid No. of Notes <br /> Comp. Grab. Air Cont$. <br /> �? ?y O I <br /> ULJtf <br /> W l) ,p k � <br /> q 4 rI lid 1 <br /> e mqw Ic y: �gnaiura DI fTimeu 16Rellnquis a y: (Signature) Received by: (Signature) <br /> De /Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis:(Signature) Date/Time <br /> Dispatched by; (Signature) Date/Time R iv r a oratory b <br /> le/Time <br /> Method of Shipment: 1 lOG-.-- <br /> REC'D SEALED&INTACT VIA V -111boratory Nam <br /> vE (nn t 19 <br /> Special Instructions: 1C'Ut° �p'� I hereby aut orize th performance of the above indicated work. <br /> GOOD CONDITION APPROPRTAret. 1 <br /> HEAD SPACE / <br /> C LORINATED TN LAe__-PRESERVED IN LAe <br /> WAST 0&0 Iaternt.sI o-nRmL I <br /> FItAAR1415-R49 r <br />