Laserfiche WebLink
j Advanced CHAIN OF CUSTODY RECORD <br /> �'- Date L Page 51of <br /> GeciEnvironmental, Inc. <br /> 837 Shaw Road-Stockton, California- 95215- (209)467-1006 - Fax 1209)467-1118 <br /> ClientProject Manager <br /> ti Tests Required <br /> 150L <br /> Phone Number <br /> NOV V—q— <br /> Samplers (Signature) Invoice* <br /> LProject Name '� �� AGE <br /> Client Q <br /> Sample Location Sample Type Solid No of Notes <br /> 1 I <br /> Number Description Date Time Water Air Conts <br /> Comp Grab <br /> — c0 — 01 ( x <br /> 4 -10 -1 t7`fp � <br /> ?`f <br /> l k <br /> ein uis e eceive y (Signature) Date/Time <br /> q Y n ur ) <br /> t? Z %7 <br /> nquished by ( gnature) Received by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DatelTlme <br /> Dispatched by (Signature) Dale(Time Received for Laboratory by Date/Time <br /> y @ o y <br /> Method of ShipmenU <br /> Labor ory Name y <br /> tK V' Y+- ( � eC�v� <br /> Special Instructions I hereby authorize the performance of the above indicated work <br />