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Advanced CHAIN OF CUSTOIAECORD <br /> � Dare �. � � t Paye [ of—Z,-- <br /> GeciEnvironmental, Inc. 9SO -act 5t I R <br /> 837 Shaw Road-Stockton, California-95215- (209)467-1006- Fax(209)467-1116 <br /> ClientProject Marta er <br /> ��. � Tests RegLltred <br /> Phone Number �} <br /> Zt�— b f —I�c�(� - r�3 <br /> Samplers (Signature) Irwolce <br /> 4^ AGE CR <br /> Project Name k� `1( OYt 4� <br /> Client ❑ <br /> � <br /> Sample Location pate Time Water Sample Type Solid No of Notes <br /> Number Description Air Conts <br /> Comp Grab <br /> 86513 <br /> - -0 If t 1 - -86514 <br /> f z c�'•z X _ _ 805 15_ _ <br /> 3 0 <br /> 113 x 86517 <br /> 86518 -- <br /> Bali q s e wece rVa y � <br /> 530 <br /> Relinquished by (Signatur Date/Time <br /> A TRURATE _ <br /> Relinquished by (Sfgnatw r •r I JirlobUs Laborato for field anal sia SI nature ' DetelTrme <br /> ��AD SPACE AQSL �� y ►r Y t o 3 � K} <br /> paspatched by (Signalute) Date/Timet or Laboratory } t Datelrima <br /> ,�'`, V �'� 1 `ifs (� ';•�� <br /> Method of Shipment Labor ory Name <br /> C. � G . �.� <br /> "eclaInstructions f - i hereby authorit the performance of the above Indicated work <br />