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� Advanced <br /> CHAIN OF CUSTODY RECORD <br /> GeciEnvironmental, Inc Date ,� Page — <br /> 837 Shaw Road-Stockton, California-95215- (209)467-1006 - Fax (209)467-1118 <br /> Client _ Prole Manager Tests Required <br /> Phone Number <br /> V <br /> Zia 1 LIZCSO <br /> Sampler (Signature) Invoice <br /> AGE <br /> Project Name z / Client ❑ <br /> Sample Type <br /> Sample Location Date Time Water Solid No of ,� Notes <br /> Number Description Comp crab Air Conts <br /> 1 <br /> i <br /> �! ]✓c.v d c' � Jt- d� <br /> Vee-ri quis a �rgnature ReceiAd by ignature DatelTime <br /> Relinquis by (Signa re) Received by (Signature) DetelTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) Date/Time Received forDrat ry by Date/Time <br /> vvvv ` vV� <br /> Method of Shipment <br /> Labors ry Nam <br /> Special Instructions I hereby aut rite the performance of the above Indicated work I <br />