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Advanced CHAIN OF CUSTODY RECORD <br /> - Date 87 page :;( of 3 <br /> GeciEnvironmental, Inc. <br /> 837 Shaw Road- Stockton, California-95215-(209)467-1006- Fax(209)467-1118 <br /> i <br /> Client ] Project Manager <br /> — FIV " ",, Gvelloge, <br /> Tests Required <br /> Phone Number <br /> Samplers (Signature) Q Invoice. <br /> Project Name �' j r � �. <br /> -T� AGE <br /> { �/ Cal Client <br /> Sample Location Sample Type No of <br /> Number Description Date Time Water Solid r Notes <br /> p Comp (arab Air CO{1tS � <br /> NA EO.W. <br /> 7/1Y63 Do's r <br /> C1 2 <br /> .55 4 r XIX <br /> M r`in �C 1I Mw <br /> Z5 A T X1 <br /> e in urs e y ,gnat reece ve y �gna;ure _ / Date/Time <br /> o3 VvA <br /> Rehnquishe by (Signature) Received by (Signature) /' ' ! . Datefrime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Dateframe <br /> Dispatched by (Signature) Date/Time P&coiv4qd for Laboratory by DatelTime <br /> Method of Shipment 11-aboraicry Name <br /> CA ` Cage 447b'-(d <br /> Spatial lnatluctions I hereby authorize the performance of the above indicated work <br /> Z <br />