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( Advanced <br /> CHAIN F CUSTOD*ECORD <br /> GeciEnvironmental, Inc. eats a Page of <br /> 837 Shaw Road Stockton, California- 55215 - (209)467-1006 - Fax (209)467-1118 <br /> Client Project MAnag/eyp <br /> U l� <br /> Tests Required <br /> 7/-;f ( Atn-/� <br /> o e mber <br /> D;T <br /> 404 <br /> Sa s ( ature) Invoice <br /> Project Name AGE <br /> Client ❑ <br /> Sample Type <br /> Sample Location Date Time Water So11d ° °f Notes <br /> Number Description ComAir Conts <br /> p Grab <br /> 3/+1 -r <br /> ehn ed atur starve y (Signature) aserme <br /> 40 <br /> Relinquished by Sign tura) Received by (Signature) DatafTdnV <br /> r <br /> Relinquished by (signature) Received by Mobile Laboratory for field analysis (Signature) a Date/Time <br /> Dispatched by (Signature) Date/Time Received for Lab7", <br /> DatelTim <br /> Method of Shipment boratory Nto <br /> s <br /> Speciat instructions 1 hereby au ho ize t e performa ce of the above indicated work <br />