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Advanced CHAIN OF COSTO RECORi� <br /> (Oool 3 Date 7`il Page _L _ of <br /> - GeciEnyironmental, Inc. <br /> 837 Shaw Road- Stockton, California- 85215 - (209)467 1006- Fax (209) 467-1118 <br /> Client Pr Manager <br /> e n 1 Tests Required <br /> r <br /> Phone Number <br /> Samplers (Signature) Irwcmoe <br /> CK <br /> Project Name � � C ACE <br /> r Client <br /> Sample Location Sample Type No of <br /> Number Description Date Time Comp <br /> Grab Air Solid Conts ! Notes <br /> c <br /> P <br /> �_1� x <br /> X x X x <br /> anon of1-10M VHFAb SP CE B9 �NTJER V <br /> E VE <br /> P"SE ALT A9 Ok <br /> urs e y ignatu Received 6y, ignature) Datefrime <br /> r <br /> Rehn uished by (Signature) Received by (Signature) Date(Trme <br /> Relinquished by (Signature) Received by M h Leo to r ei I analysis (Signature) DatelTime <br /> Dispatched by (Signature) to #ma Received for Laboratory by Date/Time <br /> Method of Shipment Laboratory Name <br /> n ca, I, <br /> Spacial instructions l I hereby authorize the performance of Ilia above Indicated work <br /> ti <br />