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Advanced CHAIN OF CUSTODY RECORD <br /> I Date Page of <br /> GeciEnvironmental, Inc. -dS _ <br /> 837 Shaw Road- Stockton,California-95215- (209)467-1006 -Fax (209)467-1118 <br /> Client Project Manager <br /> iZisln tt 4 � a � nRequied, <br /> - � tt lv �ob2,r-4- tuns+Vr <br /> Phone Number <br /> tklc�-lQv(c <br /> Samplers: (Signature)ProjectName L�Sample Type ,�Sample Location Date Time Water Solitl NO'°t Q Number Description ComGrab. Air Corns.5--UJ <br /> S-ia is lr t. Ivi S4 X 1 1�1� <br /> B-ia-t5 f, ti (SI fop 7( 1 <br /> B- 0- 5 l3-lt ( ' C% <br /> 144 <br /> 3 -tt- �s rt rr ts' �5� X t 1k�td <br /> 6-12-20 '7y <br /> Relinquished y: Ignature) wa v y: -gnat. Dale/Ti <br /> Data ima <br /> Relinquis ed by (Sig�ature) Received by: (Signatwe) <br /> 5 -T. A •1. <br /> Relinquished by:(Signature) Received by Mobile laboratory for field analysis:(Signature) Dale/Time <br /> Dispatched by: (Signature) Date/Time Received or Laboralo V' Date/Time <br /> IIf. <br /> Lab ry Name ^ <br /> T <br /> Method of Shipment: CA—L- �e l'h-e'1n. <br /> ;t ES H <br /> I hereby authorize the performance of the above Indicated work. <br /> Special Instf uctions: <br />