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� 1♦.� � ll� � � I• � � � i � �■ tttttt� � ..� <br /> Advanced CHAIN OF CUSTODY RECORD <br /> Date Page -!L of <br /> GeciEnyironmental, Inc. <br /> 4005 North Wilson Way-Stockton,California 95205-(209)467-1006-Fax(2091467 1118 <br /> i <br /> Client EZ1166— Project Manag4�. 'bests Required <br /> Phone Number <br /> Samplers (Signature) Invoice <br /> � A 't <br /> Project Name Citi t� <br /> Sample Type <br /> Sample Location Date Time WaterSolid / Notes <br /> Comp arab Air Cats ' <br /> Number Description <br /> q, 25169' <br /> 15fiD <br /> 2 8161f <br /> 2512 <br /> 26163 <br /> VJ -3_65 ! 10: o s 2 51 fi 4- <br /> V-J 4/01 1 LU <br /> l 251fi5 <br /> e s a y i a e eceiva by (Signature) — � unru�r moo` <br /> Relinqur d by (Signature) Raceived by (Signature) DatelTtme <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DetelTime <br /> Dispatched by (Signature) Date/Time Received for Laboratory by Date/time <br /> � @ Icw. <br /> Method of Shipment * Laboratory Name <br /> q ir 1�"OvAe&o Z4-5 <br /> Special Instructionsl hereby authorize arforrAnce of the above indicated work <br /> cant '�w� i fis IMPvaAs o&ls METAts P""- <br /> .�...,. PRESER4ATI0 <br /> o ~'V.v' u'— ofGOOD CONDITION I APPPA <br /> HFADSPAf F41 19-w M!TA'lKDQ <br />