Laserfiche WebLink
CHAIN OF CUSTODY RECORD <br /> jAdvanced a ,-,; <br /> Date /)-30--7' Page j of <br /> GeciEnvironmental, Inc. <br /> 837 Shaw Road- Stockton, California - 95275 - (209) 467-7006 - fax (209) 467-1718 j �� .{ : ' <br /> CC2) , <br /> Client Project Manager 1 Tests Required <br /> All 1 <br /> Phone umber <br /> Samplers: (Signature) /I Imfoice: <br /> N� AGE �( <br /> Project Name �� �` Client <br /> Sample Type y <br /> Sample Location Date Time Water - Solid No. of Notes <br /> Number Description Comp. crab. Air Corns. <br /> V-13 oris k 1 <br /> -I <br /> V -IS jpa� X <br /> e m e scerve y: (SignatureDeteJTirrfa <br /> t13c; . ft3s <br /> Relinquished by: Signature) Received by: (Signature) Datsfnme <br /> 7 • � y'1 <br /> Relinquished by: (signature) Received by Mobile Laboratory for field analysis:(Signature) DatefTime <br /> Dispatched by: (Signature) DateRime Received for Laboratoll", , Date rime <br /> Method of Shipment: LabgFatory N e <br /> ,, e � <br /> Special lnstructlons1 hereby authorize the performance of the above Indicated work. <br /> : <br />