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( Advanced <br /> ��' CHAIN OF CUSTOD RECORD <br /> GeciEnvlronmental, Inc. 01 - Dare r o'L Page __Lof <br /> l <br /> 837 Shaw Road-Stockton, Califomia- 95275 (209)467-1006 - Fax(209)467-1118 <br /> Client r Project M 9e T uired <br /> P <br /> one Number <br /> �1 0"V047 <br /> am rs (Signature) t Invoice, <br /> Project Name AGS Er <br /> I Out" T :5c" 1`0 F x Client L ❑ <br /> Sample Type � <br /> Sample Location Date Time Water Solid No of Notes <br /> Number Description comp Grab Air Conts <br /> 1L— -d 2 oq h !: 90799 <br /> Z _&-X_ 4— 9 — <br /> y 0800 <br /> a- 90801 <br /> 90802 <br /> ",FIR ✓ <br /> MIR, anrom -}- 90803 <br /> 4 .w �3 CF ;T� - _ AFS?o' !ATE <br /> e to07V <br /> --_ �V cewy e y (Signature 3 j o�p-� a telrime <br /> YVLI �� / d'Z <br /> Reiinquis ed by ( ign t re) Received by (Signature) Datefrime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DateJTime <br /> i <br /> Dispatched by (Signature) Date/Time Received for Laboratory by Datefrime <br /> Method of Shipment Laboratory N e <br /> Special Instructions i here au horize th pe orm ce of the above indicated work <br /> C Cnr_->k e r- "-ece N\o spa # �xntyac+- "x- ,Ck c.] d <br />