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Advanced CHAIN OF CUSTODY RECORD <br /> � <br /> Date 42 Page `Z— of—2, <br /> -� GeciEnvironmental, Inc <br /> r' 837 Shaw Road - Stockton, California- 95215 - (209) 457 1008- Fax (209)487-1118 <br /> Client Pr,ole Tests Required <br /> all, te"- <br /> Phone Number <br /> Sam p (Signature) invoice, <br /> AGE ❑ <br /> Project Name < <br /> Cifen { <br /> Sample location Date Time Wa epic Type Solid No of , Notes <br /> Number Description comp arab Air Conts , <br /> 67596 I <br /> ` 01 <br /> 6759? <br /> i <br /> Ad <br /> Olt <br /> cao� MTV ONT, <br /> AT <br /> r <br /> ,q <br /> e n u eV(Sislurs acs ve y ignature as ITlme <br /> (� <br /> Rel qurs a by {Signa e) Received by (Signature) <br /> ate/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DetelTime <br /> pispatchsd#y (Signature) oate/Time Racelve for aboratory by worrimew� <br /> G <br /> 7'0W &&o <br /> Laborator ams <br /> Method of Shipment <br /> I hereby authors he perform ce of the above Indicated work <br /> Special Instructions I <br />