Laserfiche WebLink
Advanced CHAIN OF CUSTODY RECORD <br /> GeciEnvironmental, Inc. Date jy-� Z Page <br /> 837 Shaw Road- Stockton, California- 95215- (209)467-1006 - Fax f209) 467-1118 <br /> Client <br /> F Project Manager <br /> - , <br /> .' ) rr, �' ' y!- Tests Required <br /> Phone Number 4 <br /> p � ,mow , <br /> j , <br /> Samplers (Signature) r ' Invoice <br /> AGE ❑ <br /> Project Name 1 7 - to _ � . <br /> Client ❑ <br /> Sample Type <br /> Sample Location No of <br /> Number Description Date Time Water Air Solid Conts �: ' `"� Notes <br /> Comp Grab 2 <br /> to <br /> f <br /> d <br /> NO _ t ° <br /> y _ f <br /> r+ Fi <br /> e mquis e y (Signature) _ Received y (Signature) ate/Time <br /> ✓ ! "Z V xy <br /> RetinquSshed by (Signature) Received by (Signature) Dateffime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) �, Dateffime <br /> i <br /> Dispatched by (Signature) Dateffime Received for Laboratory by Dateffime <br /> Method of Shipment F Laboratory Name <br /> 4%%%%Insuuctwns 1 hereby authorize the performance of the above indicated work 1 <br /> r <br /> J � <br /> r ` <br /> s, <br />