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CHAIN OF CUSTOAECORD <br /> Advanced Date la(T Page :?= o <br /> GeciEnvironmental, Inc. <br /> 837 Shaw Road-Stockton, California-95215-(209)467-1006 - Fax (209)467-1118 <br /> P► Manager Tests Required <br /> Client c `� G `� Lviii, C���v- <br /> 7hone m -t(b& <br /> piers {Sig ur Invoice <br /> AGE ❑ <br /> Project Name e-" Gierit El <br /> Sample Type <br /> Sample Location Date Time Water Solid No.of Notes <br /> Number Description Comp GfaH Air C.onts <br /> Ul(r 031 <br /> I L <br /> eceive y 19nature Dateff <br /> Z-Z-2cl t tJ <br /> Date/Tune <br /> Relinquished by (Signature) Received by (Signature) <br /> Relinqugnature) Received by Mobile Laboratory for field analysis (Signature) <br /> Date/Time <br /> t)ispatchod by (Signature) <br /> Daterrime Received or Laboratory by DatelTime <br /> Lab ay�a <br /> Method at ShipmentCAA <br /> Special Instructions �� ! � t her authorize t per rmanee of the above indicated work <br /> l.r � <br />