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• CHAIN OF CUSTODY%CORD <br /> Advanced Date page 01-17ft—I <br /> --- GeciEnvironmental, Inc. <br /> 837 Shaw Road- Stockton, California-95215 - (209)467-1006- Fax (209) 467-1118 <br /> Project Mana er Tests Required I <br /> Client �` � <br /> 'Wl � <br /> P one Nu ber <br /> 7 row <br /> Samplers (Signature) Invoice <br /> AGE . < <br /> Project Name Client ❑ <br /> lIla <br /> Sample Type ! � <br /> Sample Location Date Time Water Solid No of /\ �/ Notes <br /> Number Description Comp Grab Air Corlts <br /> AW W QP 'Z�7 <br /> pw� 3K Y0 <br /> AWS cX K <br /> NAQRC c SS <br /> AW,Q n Mw S� X x <br /> /1,AW oliek IfXXX X <br /> 1\2XMWAwl , 5 X <br /> eli quis e y " ture) eceive y ignature Date ime <br /> Z <br /> Relinquished by (Si nature) Received by (Signature) <br /> Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date rime <br /> Dispatched by (Signature) DatelTime Recewad for Laboratory by - Date/Time <br /> a <br /> Method of Shipment LaboratName I +(�r <br /> Special Instructions t �/J I hereby authonze the performance of the abov Indicated work <br /> I <br />