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CHAIN OF CUSTODYFCORD0 I <br /> Advanced <br /> ( � ate.... <br /> GeciEnvironmental, Inc, Date 't-21 -c5 Page <br /> r 837 Shaw Road-Stockton, California-95215-(209)467 1006 Fax(209)467-1118 <br /> Client � �`� � .� Project Manager <br /> Tc i �� � Tests RequiredPhone Number <br /> Samplers (Signature) ��, Invoice <br /> AGE e <br /> Project Name u� uG A,>+c # f tea- Client ❑ <br /> Sample Location Saml5leType No of Z, ,QL <br /> Number Description Date Time Water Air 5011d Conts ° Notes <br /> Comp Grab �`t? <br /> 10 J es-1 <br /> MwLf.1S <br /> MM-2o <br /> M�Jtf- 2,S- 2-51 021.5 <br /> MM-36 cr N 56 <br /> elinqui e y ignetur ecerve y ignature oale/Trme <br /> xl -a S/ 4 7 CTs <br /> adfinquished by ature) Received by (Srgnsture) Data/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (SlgnalUre) DatefTlme <br /> Dispatched by (Signature) DatefTime Received far Laboratory byC D( <br /> Signature) <br /> JQ <br /> Method of Shrpmenl ��i ����`4� labors Name cc <br /> � <br /> Special 1nEtrucsonS 4- ` � I hereby authorize the performance of the above Indicated worst <br /> *]`eJ <br /> I <br />