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Advanced CHAIN OF CUSTODY RECORD <br /> -- GeciEnvironmental, Inc. Date Page <br /> 837Shaw Road-Stockton, California-95215-(209)467.1006- Fax(209)467-1118 <br /> Client Project Manager r/ Tests Required <br /> i r-o u vt <br /> l <br /> Phone Number <br /> Samplers: (Signature)iA L Irwoice: <br /> e. " � AGE <br /> Project Name •� �IV �/ Chem <br /> Sample Type <br /> Sample Location Date Time Water Solid No. of �($f/S / Notes <br /> Number Description Comp Grab. Air Conts' J <br /> 5 -5 1 �3 I +tcl P <br /> 66-I n X523 t+a <br /> ��- 15 fro L.P oaten <br /> )nqum a y: Mignatur Pt).t.nim. <br /> natura <br /> Q�+ S, T ZL-a 15oD <br /> Relinquished by: (Signature) nature) Date ime <br /> Relinquished by: (Signature) le Laboratory for field analysis:(Signature) Date/Time <br /> Dispatched by: (Signature) Received for Laboratory by" Date/Time <br /> Method of Shipment: Laborato Name <br /> I hereby authorize the performance of the above indicated work. <br /> Spacial Instructions: �` <br />