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Advanced CHAIN OF CUSTODY RECORD <br /> -_- j <br /> GeciEnvironmental, Inc. Z Date ZU ut Page of <br /> 4005 Norah Wilson Way-Stockton,California-95205-(209)467-1006 Fax(209)467-1118 <br /> Client ProjectManagetr J ty Tests Required <br /> 1 J L A) '"�'f k <br /> Phone Number <br /> Samplers (Signature) invoice <br /> 1, AAl�ii_1.j� � Lee '1� AGE <br /> Project Name + r' ,�' ' Client ❑ <br /> sample Location Sample Type No of y Notes <br /> Number Description Dale Time Water Air Solid Conts +L�' <br /> Comp Grab [,- <br /> 70397 <br /> d t '� X X Ix 1 70398 <br /> Lem <br /> >- <br /> 1,ti ©� 70399 <br /> I J <br /> e nquis e y rgnature eceive y ignature Date/Time <br /> Reimquished y ignature) Received by (Signature) f7atefrime <br /> Relinquished by (Signature) Received by Mobile Laboratory for flaid analysis (Signature) Date/Time <br /> Dispatched by (Signature) Date/Time Received for Laboratory Date/Tima <br /> laboratory Name <br /> Method of Shipment � C) I <br /> I hereby uth ize the performance of the above indicated work <br /> Special Instructions <br />