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CHAIN OF CUSTODY RECORD <br /> Advanced <br /> Date��-`�'�-a — Page Z'" of 2 <br /> - GeciEnvironmental, Inc. <br /> ~" 4005 North Wilson Way-Stockton,California-95205-(209)467-1006-Fax(209)467-1118 <br /> Cft�nt , <br /> Project Manager Tests Required <br /> Phone Number <br /> Lit, 7 -- Ivo Le <br /> Samplers (Signature) Invoice <br /> Project Name Ment Q� <br /> Sample pe No of Sample Location Date Time Water Solid �Z Notes <br /> Number Descriptioncom Grab Air Conts z <br /> p 49865 <br /> W� tuo� W `� lo -+�-c��Kv1'61'5_ <br /> X , <br /> 49866 <br /> W �tac�Lloc W 1 1U~�-carr 3 - _ <br /> #'� #i <br /> 49867k+�2 4 3QL103/1001100 V VQ -1 --- -4_986a ��� <br /> V�`� a��a w t o -04 �t '� 49869 <br /> �— <br /> rlvr 1E� rL� 1k1CR <br /> --A <br /> n��„j;•��, Date/Time <br /> e n4u y ignature 'cavJy igna ure 1C JIB_ r , i ,si l � ._ <br /> Datefrime <br /> M is ed by (SI nature) Received by (Signature) <br /> HEADarr,�E,s� <br /> Reiinqu shed by (Signature) Received by Mobile Laboratory for field analyst' (Signator') DaleTTlme <br /> Date/Time Received 1%Laborat r y DatelTime <br /> Dispatched by (Signature) (0 {� <br /> Laboratory Nam <br /> Method of Shipment b-01-1 <br /> ZY I hereby authorize th performance of the above Indicated work <br /> pe lel Instructions � G <br /> t�— G V <br /> � .t <br />