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Advanced CHAIN OF CUSTODY RECORD <br /> (0;2) <br /> GecEnvironmental, Inc. Date - Page a837 Shaw Road-Stockton. California- 95215- (209)467-1006 -Fax(209)467-1118 `7 : (✓ <br /> f <br /> Project Manager ff Tests Required <br /> Client {A� Q i e (v a - <br /> Phone Number 1A Z� <br /> 46- 411,; Y-1006 <br /> Samplers: (Signature) Invoice: <br /> n AGE <br /> Project Name <br /> Sample Type <br /> Sample Location Date Time Water Solid No. of �4? Notes <br /> Number Description Comp. Grab. Air Conts. <br /> -15 1 as i I K� X i i.© <br /> Y'-a_ 121J <br /> �a-3a leas ! X <br /> 1303 aro a <br /> 6-a- L15 i 3�) / "LD oacomm. <br /> e i qms a Y. gn lure eceive y: ignature <br /> Receive (Signature) I� 7 Daternme <br /> Relinquished by:(Signature) db y' ( g y'1 <br /> Relinquishedby: (Signature) Received by Mobile Laboratory for field analysis:(Signature) Date/Time <br /> . <br /> DatafTime Received for Laboratoryby: �` _ DaterTime <br /> Dispatched by:(Signature) J- <br /> Laborato 'Name - <br /> Method of Shipment: '/�`�,n ,,, <br /> 1 hereby authorize the performance of the above indicated work. <br /> Speeid Instructions: <br />