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Advanced CHAIN OF CUSTODY RECORD <br /> GeciEnvironmentai, Inc. Date page --- 1 <br /> 837 Shaw Road-Stockton,California- 95215-(209)487-1006- Fax(209)467-1118 <br /> Client ZXd, Project Ma <br /> ----- eq Tests Required <br /> f <br /> P e-&z7- <br /> ne Number <br /> ers. (Signature) Irwolce, <br /> Project Name Q _ 9 AGE L31' <br /> k640Client ❑ <br /> Sample Location Sample Type No of <br /> Number Description Date Time Water Air Solid Conts Notes <br /> Camp Grab I <br /> o 66745 ✓� <br /> I _ <br /> ,.. <br /> 66746 <br /> e'= a i 66747 <br /> 66748 <br /> 1 4 <br /> 66749 ✓t— <br /> Y AS G <br /> �Rslin:qZse by ii n ure We-calved y gnature atemme <br /> GOOD CONFITION OPRL4TE <br /> Relinquished by gnature] Received by (Signature) PACEAMENT C TAINERS ate(Tims <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) DatelTlmec ved tar a o tory by COVVnI IL-0- Date/Time <br /> AVAY <br /> Method of Shipment [AJi'C Laboratory Nam <br /> pecial Instructions _ pp 1 A I hereby a lhorll the performAnce of the above Indicated work <br /> Ce J'/'Jc2 t!A rft y r�l G <br />