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CHAIN OF CUSTODY CORD <br /> Advanced to i: � � Page -A- of J_ <br /> _- GeciEnvironmental, Inc. �,�G�� <br /> 4005 North Wilson Way Stockton,California-95205 (209)467-1006-Fax(209)467-1118 <br /> Client T Project Manager Tests Required <br /> C r t1AP <br /> Phone Number o <br /> Samplers (Signature) Invoice. <br /> AGE <br /> Project Name Client <br /> EJ <br /> Sample Type <br /> Sample Location Date Time Water Solid Conts Notes <br /> Numbe ::: <br /> r Description Camp Grab Air <br /> 62523 <br /> 625243.5 <br /> �— <br /> I 62525 <br /> CsT,2- 29 <br /> q ���� <br /> 62526 <br /> ���� X 6. 2527 <br /> icy x <br /> 62528 <br /> �3U 62529 <br /> pr Y5 [655 q <br /> 1 1 � <br /> 37-1Y5 u81161 t Ims <br /> e rnis e y ( ign ece ve y tgnature n; <br /> MU ` ` it 7A71'1' <br /> DatelTime <br /> Rein Pshed by ignatufe) Received by (Signature) <br /> Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) <br /> Date/Time R saved for Laboratory by <br /> b DatelTime <br /> Dispatched by (Signature) <br /> 7- <br /> L boratory fram g , j <br /> Method of Shipment J 11 <br /> .� <br /> LoAckl� VQ 0&G MLTALS OTHER I hereby authorize the per or ance of the above indicated work <br /> 'a SA tnstrucuons <br /> +ePRESFRVATION <br /> GOOD CONDITION APPROPRIATE / '� <br />