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( Advanced CHAIN OF CUSTODY RECORD <br /> -__- GeciEnvironmental, Inc. Date 3 Page C)f.e— <br /> 837 Shaw Road-Stockton,California-95215-(209)467-1006-Fax (209)467-1118 03-1 (01 <br /> Client Project pager <br /> ")n�na 3�4mN Tuts Required <br /> Phone Nu ber <br /> Samplers (Signature) Invoice <br /> Project NamQatGIL M � %-- 9AGE <br /> Client <br /> Sample Location Sample Type Na of � <br /> Date Time Water Solid Notes <br /> Number Description Date <br /> Copts <br /> Comp Grab <br /> 1 r 3-16y* S- <br /> V\ - ;�b r K K X <br /> I AId <br /> v fl1U r Cc) <br /> '"l� Ir tl 1] Ud <br /> Zezquished <br /> uis e y ignat <br /> ece ve y (signature) Datefrim� <br /> by (Signature) Received by (Signature) A/ Date/Time <br /> Relinquished by (Signature) Received by blobila Laboratory for field analysis (Signature) Date/Time <br /> I <br /> I <br /> Dispatched by (Signature) Date/Time Received for Laboratory by Datef ime <br /> Method of Shipment 05 LLabor7%T <br /> eA� e 0)'&P <br /> Special instructions l hereby authorize the performance of the above indicated work <br />