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Advanced CHAIN OF CUSTODY RECORD <br /> GeciEnvironmental, Inc. --- Date 9-3-05 Page I of- �/— <br /> 837 Shaw Road- Stockton,California-95215- (209)467-1006-Fax(209)487.1118 <br /> Client Project Manager Tests Required <br /> ��4twc_ vt r �CS1��vntr� <br /> Phone Number <br /> Samplers: (Signature) Invoice: <br /> Q - AGE <br /> Project Name � si2rret � Lo - �^ � � Client El <br /> Sample Location Sample TypeDate Time Wafer Solid No. of �� Notes <br /> Number Description Comp_ Grab. Aar Corps. <br /> B-1—s k3-1 5' $-3 os oil) X 11X <br /> '8- 1- 1e V-1 � 1L; b0.23 x j k <br /> Y3-t-t5 Yo- j CA- <br /> T3-1- 20 <br /> r3-1-2c 13—( Ca Zrr 0`l45 1� f <br /> '�'-"1(niA�}-�-C Ui O w. B•—I i7`l5•t7 h X X 2�( ltr T A T. 7Y <br /> t32-5 & 2 SI W-2 7C 1 <br /> e mgws y: ignature stave y: rgnalureoats, Ime <br /> �� g-3-os E <br /> Reling shed by: (Signature) Received by:(Signature) Dat Rime <br /> Relinquished by: (Signature) Reeaived by Mobile Laboratory for field analysis:( ' nature) DalelTims <br /> Dispatched by: (Signature) Datelrime atved ralory Date(Time <br /> ti dc�G> <br /> Method of Shipment: Laboratory Name <br /> C.aL- <br /> i hereby � <br /> Special instructions: <br /> +/ authorize the performance of the above Indicated work. <br /> g2be Cull Seats JC0 -;� : : �e�oeyl ace�c 1r , Tel(,et <br /> 't soQT opty 0.Cn to ) yrCr •PreP� [tC , QCL', C+t'2, "i)IClwl=tl " UYiS i.'t �.lS'L. �� L <br /> was iw d <br />