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( Advanced CHAIN OF CUSTODY RECORD <br /> GeciEnvironmental, Inc. <br /> Date " <br /> Page Of <br /> 837 Shaw Road-Stockton, California-95215-(209)467-1006-Fax (209)467-1118 <br /> Client r <br /> t Project Mana r <br /> Tests Required <br /> P ne Number � <br /> t <br /> Samplers: (Signature) Invoice: <br /> Project Name � � � <br /> AGE <br /> Sample !_ovation Sample Type Client <br /> Number Description Date Time Water Solid No. of <br /> Comp. arab. Air Conks. Notes <br /> 1 <br /> t <br /> t i 4 .�. <br /> e i q a e 1 nature ecewe y: gnalure <br /> gT;Dat@fT <br /> e/Time <br /> Reflnquished by: (Signal ) Received by: (Signature) <br /> me <br /> Relinquished—by—(—S ignature) Received by Mobiie Laboratory for field anslysla:(Signature) <br /> Date/Time <br /> Dispatched by: {Signature} Date/Time flecewed for aborato by:ry Date/Time <br /> Method of Shipment: <br /> La atony Name <br /> Special instructions: .rr <br /> 1 hereby ut rize the perfor nce of the above indicated work. <br />