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Advanced CHAIN OF CUSTODY RECORD <br /> Date Page of <br /> GeclEnvironmental, Inc. <br /> 837 Shaw Road Stockton, California - 95215 - (209) 467-1006 - Fax (209) 467-1118 <br /> Project Manager <br /> Client `tja. G,'tA Tests Required <br /> —Ph�np f4 mi�e'N t <br /> Samplers: (Signature) Invoice-: <br /> AGE <br /> Client <br /> Project Name <br /> Sample T <br /> Date Water S No, Dt Notes <br /> Sample Location Time er Solid i <br /> Number Description Comp. Grab. "'Our Conts <br /> Y, <br /> DatarTime <br /> SIL — lc� <br /> t k <br /> efin <br /> is a y ign r ) stem y: igna ura <br /> I --- Datefrime <br /> Relinquished by: (Signature) Received by: (Signature) <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis:(Signature) Date)"Time <br /> Daterl ime lReceived for Labori-tocy,by. Date/Time <br /> Dispatched by: (Signature) <br /> Method of Shipment: <br /> labor tory Me--- <br /> hereby authorize the performance of the above indicated work. <br /> Special Irnitirl.t., <br /> I-:7k <br />