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l Advanced <br /> CHAIN OF CUST RECORD <br /> GeciEnvironmental, Inc. Date z I Page 1 of <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467-1006-Fax(209)467-1110 13 � L? <br /> Client IUM ho <br /> Manager) <br /> p j NJ [1Z K A C-fC N Tests Required <br /> Phone-Number <br /> 09) 4� —100CD <br /> .d' <br /> Samplers: (Signature) r en ��o Invoice: <br /> Project Name p �j� rn�P� �r v� ��� AGE <br /> N ' <br /> Sample Location Date Time Sample Type $olid No. °t o Notes <br /> Water <br /> Number Description Air Conts. by <br /> Comp. arab. <br /> 131- 7-S6 Tk-t Z XX X <br /> B-r- 3�. z5 � L ` mos ti /057 <br /> XL3 - I TriKMC 20-z�' DZ os 5 10�OSgi1 .� 7� Tti <br /> 13—Z--Z4.zs I-,-- l Z 5- -r7 r 2 0 <br /> B--Z <br /> 71,ik1 (Zo -zS ' a os X111217 <br /> 8 14,25 i HN K i a 333 1C X X <br /> e in u e y rg ure �, ocei a y: i g n a I u r e) �ro�9y ate me <br /> �-C� l2 STP <br /> Rolinqui ed by: {Signature) Received by: (Signature) Daterrime <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis. (Signature) Dalefrime <br /> dispatched by. (Signature) datelVm oe 111acelved Ior Labr ETALS oTHEo DatelTlme <br /> -- <br /> Method of Shipment: GOOD CONDITION APPROPRIATE lorw e MCC14 <br /> 11L;Vi 11VL, �.,.� Ql� <br /> Special Instructions: I hereby authorize the performance of the above Indicated work. <br /> coo l�R, <br />