Laserfiche WebLink
( Advanced CHAIN OF CUSTODY RECORD <br /> .- GeciEnvironmental, Inc. � ?j�j(p� Date Page Of <br /> 837 Shaw Road-Stockton, California- 95215-(209)467-1006- Fax(209)467-1118 <br /> I <br /> Client Pro ect M ler <br /> Tests Required <br /> P e Number <br /> Sa ers (S nature) Invoice <br /> Project Name AGE <br /> Client ❑ <br /> Sample Location Sample Type <br /> No of <br /> Number Description <br /> Date Time Water ASolid Coats Notes <br /> ? p Comp Grab Air it <br /> /V L �r ZL3 0 `e 30 <br /> WAS <br /> �— <br /> C01 rrMNERZ <br /> Relinquished y ignature ece ve y gnakure Date/Time <br /> Relinquished by (Signature) Received by (Signature) <br /> Date[Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DatelTime <br /> Dtapatched by (Signature) DateJTime Rece a to Laborelory b ate/rime <br /> ago 9 Dd <br /> Method of Shipment Laborat ame ' <br /> SiLeclaijInottuctio I hereby uthorize erformance of the above indicated work <br /> ' r <br />