Laserfiche WebLink
Advanced CHAIN OF CUSTODY RECORD- <br /> --�= =r• GcoEnvironmental, Inc. -- _ - _ oate _4s Paga a <br /> 4, _ <br /> 1--` <br /> of ftoiheni California <br /> I <br /> 1803 West March Lane.Suite A• Stockton, California-95207•(20'9)9%0264.Fax(209)9580700 <br /> Client Project Mana r <br /> - kn aNr ���ry- <br /> .V n Test Required <br /> t� <br /> Phone lumber w <br /> - - - - \�; - <br /> -- - - - q5 - C? Lb�j - - - - <br /> Zc 3 <br /> }� V y�. e: <br /> am >lers: Si nature Y <br /> Invoice: <br /> _9 <br /> Project Namet AGE o <br /> MIL N ,41N t� / Ctient ❑ 3 <br /> Sample Location Sample Type _ / -- <br /> bate Time y <br /> Number Description Water _ Solid No. of � � �� Notes <br /> Comp Crab. Air Co(rie. <br /> 56807 <br /> 0112 <br /> Ll <br /> - <br /> k J <br /> 56810 <br /> t , <br /> T�Ze6Jnquls ♦ �Qnatu� f�-- v y; gna -y 04Oatellime <br /> I�[ �-r 3 <br /> Relinqulshe igneture) y_} /1 _�•0_r)aived by: (Signatu e) - <br /> [ ate/Time <br /> elinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) Dete/Time <br /> Gl <br /> Dispatched by: (Signature) QaletTime Received for Laboraror <br /> v r <br /> QatelTime � <br /> Met <br /> hod of Shipment. Laboratory Mame - <br /> --� �- JCD <br /> Spacial ImlrucWonr. l hereby authorize the pfformance of the Above indicFile d vrork. <br /> 10 <br />