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Advanced CHAIN OCUSTOD RECORD <br /> GeciEnvironmental, Inc. 0�� 3(�5 C--� Date � ° Page -�— Of <br /> 837 Shaw Road-Stockton, California-95215- (209) 467-1006- Fax (209) 467-1118 <br /> Client j�c Projectana r Tests Required <br /> P ne Nymber <br /> gb671v b <br /> Samplers (Signature) Invoice <br /> Project Name L � o � AGF <br /> Lo ` 44 Client <br /> Sample Location Sample Type No Of <br /> Number Description Date Time Water Air Solid Cams Notes <br /> Comp I Grab <br /> "/03-630V k�07 — -H <br /> t <br /> -ZY tAW 2 ( RC 2 <br /> \WZD <br /> 3 140 X K <br /> NO <br /> inquis e i n tore eco e1ve� i nature <br /> y ( 9 ,i} )f � Y Y 9 <br /> ate 1T e <br /> Relinquished by (Sig()10111ft k--- Received by (Signature) Dat /Tlrne <br /> HOOD CONDITfdAr_,,.,,� 1{ TB <br /> HEAD SPACE AMENT _ <br /> Relinquished by (SigV=140RINATEDINLAFL_ A"i9comobile Laboratory for field analysis (Signature) Date/Time <br /> VIDA PRESMEVA tom(} Oj <br /> Dispatched by (Signature) Date rime R MeLabafalory <br /> by ale ime 40C- <br /> 00 <br /> Method o1 Shipmente� Laboratory Name LkCj <br /> ft RUM he akZIP- <br /> CQ� <br /> Special instructions l� m f hereby authorize tperform nce of the above indicated work <br />