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i i i i i i i i il i i i i l i i i i <br /> ( Advanced CHAIN F CUSTODY RECORD <br /> __-- GeciEnvironmental, Inc. Date yip 6� Page -2- of <br /> 837 Shaw Road-Stockton,California-95215-(209)467-1006- Fax (209)467-1118 O I p <br /> Clienttl?l <br /> 6-XI Project Manager 1 !p <br /> do t�7 <br /> oG Tests Required <br /> Phone Number <br /> '9F <br /> Samplers: (Signature) Irnolce: <br /> Project NameVa <br /> � �� f��14 <br /> r� hAGE 11 �L Client ❑ <br /> Sample Location Sar ip Type (� y <br /> Number Description Date Time Water solid No.of �,',�� ti Notes <br /> Comp. Grab. Air Conts. <br /> I--JL/c/6 *1 IJ rd y /X03 11 S' 3 J x <br /> aj. <br /> Me quis a y: nature Received y: ignature <br /> 1] elrime <br /> /S- oz) <br /> inquished by: (Signature) Received by: (Signature) <br /> DatelTime <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis: (Signature) Date/Time <br /> Dispatched by: (Signature) Date/Time Received for Laboratory Date/Time <br /> Method of Shipmon>09ora Na a `-- <br /> Special Instructions: I hereby horize the performance of the abov indicated work. <br />