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�. � ttttttttllt■ tiitltilil� t, ■� � � �■ t� � �� � I♦ � � <br /> • <br /> t Advanced CHAINF CUSTODY RECORD <br /> GeciEnvironmental Inc. I-? C C Date f Page <br /> 837 Shaw Road - Stockton, California 95215 - (209) 467 1006- Fax (209) 467-1118 <br /> Client _V1 <br /> �I <br /> ',� � Pro M Ana er <br /> L4 L 1 `fir Tests Required <br /> — one, umber <br /> Sa rs (S @�aturey Invoice <br /> Project Name AGE <br /> Client ❑ <br /> Sample Location Sample Type <br /> Number Description Date Time Water Air Solid No o Conts Notes <br /> Comp Grab <br /> t <br /> WL JO <br /> :u� <br /> i�� sPA� <br /> c <br /> Aka <br /> e inqus y gna Received by ignature <br /> Date/Tim <br /> Relinquished by (5E nature) Received by (Signature) <br /> Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) <br /> y _ Date/Time <br /> Dispatched by (619natufe) Date/Time Received for Laboratory by <br /> DaIe/T4me <br /> Method of Shipment Laboratory N e j <br /> Special instructions f I hereby a orize the perfor ante of the above Indicated work <br /> CLOkAL 0 U M-4 '121 fJ_1. l��� _�-� _fi t'_ <br />