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7. <br /> �� j L(" ;-.: � •ruC� CHAIN OF CUSTODY k2 ORD <br /> Advanced <br /> Date I— r ` <br /> GeciEnvironmental, Inc. <br /> Page of <br /> 4005 North Wilson Way-Stockton,Califomia-95205-(209)467-1006-Fax(209)467-1118 <br /> ;tient T Project Manager <br /> Tests Required <br /> h-L- <br /> [� � Phone Number <br /> Samplers: (Signature) Invoice: <br /> 'roject Name �ZAGE <br /> i Cle t ❑(/[J� z <br /> Sample Location Sample Type No. of <br /> Number Description Date Time Water Solid Notes <br /> p Comp. Grab. Air ContS. <br /> 12-21- jgj��5 1 56710 <br /> e inqu+s a y: (Signatur ) ecelve y: ignature Date rime <br /> Refinquls ed K (Signature Received by: (Signature) Dale(Time <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis; (Signature) II V0t <br /> Date/Time Received for Laborato by: <br /> �Date(Time <br /> Dispatched by: {Signature) ry <br /> k6L r Q k-0 r& <br /> OG�i <br /> Melhod of Shipment: ��. L oratory Name <br /> Special Instructions; i hereby authorize the performance of the above indicated work. <br />