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CHAIN OF CUSTODYCCORD <br /> j Advanced <br /> Date Q Page Z of Z <br /> --- GeciEnvironmental, Inc <br /> 4005 North Wilson Way-Stockton,Caiifomia-95205 (209)4671006-Fax(209)467 1118 <br /> Client Project Mangyr Tests Required <br /> Phone Number ,y <br /> Zk:q �, - �aV <br /> Samplers (Signature) invoice. <br /> AGE <br /> Project Name �� � �' � Client <br /> Sample Type No of I <br /> Sample Location Date Time Water Solid Notes <br /> Number Description Comp orab Aur Conts t <br /> 69665 <br /> COz- <br /> k69666 <br /> 1 69667 l <br /> I <br /> t] e(Fime <br /> Relinquish y s lureReceive by (Signature) <br /> 1-2 <br /> r I York <br /> atelTima <br /> Relinquished by {Si atur Received by (Signature) <br /> L <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) <br /> * Date(Time <br /> Date! in►e Received for Laboratory b DatejTime <br /> Dispatched by (Signature) J U <br /> I <br /> Laboratory Name <br /> Method of Shipmen <br /> A16 <br /> 9(,l�Y�ETi��.S OTHER i her a Drize the p riormance of the above indicated work <br /> Special Instructions vO�S � <br /> eVaN <br /> GOOD COHNTION ' APPROPRIATE <br /> I DAU L A ti rn V:0 <br /> i~ti <br />