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-� Advanced CHAIN OF CUSTODRECORD <br /> GeciEnvironmental, Inc Date / �' image of <br /> 837 Shaw Road- Stockton, California-95215 - (209)467-1006- Fax (209)467-1118 <br /> Client �� ����e �- Pro ect Manager Tests Required <br /> one Number � <br /> �L�l4DD6 <br /> I— - a lers (Signature) �� Invoice <br /> _ AGE <br /> Project Name Chit - (-- cck �'L►(��1� <br /> I � � Client ❑ <br /> Sample Location Date Time Wat Water Solid No of N tJ Notes <br /> Number Description Comp Grab Air Conts <br /> PUMA/(( (&0 w.c�►.�Cl� r ti ���� t��o A � X X � <br /> 1XIX X <br /> 11D ti >Y�tr.t Y t ti l` X Y X <br /> i '7 5 X 1� <br /> mA tt P'Yiw� tL ff �Cr3` f` X <br /> e i uts a tgnatureReceived y (Signature) Date/Time <br /> 1/ zee3rite <br /> Relinquished by (StgnaWDate/Time <br /> Received by (Signature) �� �` � <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysts (Signature) / Date/Time <br /> Dispatched by (Signature) Uate/Time Received for Laboratory by DatelTi <br /> L-- <br /> Method of Shipment i Laboratory Name _ rY <br /> C f f'' <br /> Special Instructions 14 lT I harab uthoriza Etre performance of th above indicated work <br />