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• CHAIN OF CUSTODRECORD <br /> Advanced tZ�' Jpa l <br /> GeciEnvironmental, Inc °Datese °� <br /> 837 Shaw Road Stockton, California- 95215- (209)467 1006- Fax (209) 467-1118 3 ^ '0 o5 <br /> Client l Vy\ �cc,YV), � Project Manager <br /> ���t� Tests Required <br /> phoneumber <br /> C-T <br /> �--(�- Le <br /> Samplers ( nature) �Z> Invoice <br /> Project Name �j� I �' a Client ❑ <br /> Sample Location Date Time Wamer Type Solid No of / Notes <br /> Number DescriptionCompcrab Air Conts <br /> UW <br /> jJ A l3 <br /> e aqui e y nalur ecerve y ignature DatefT e <br /> ��Gr 3G <br /> wished by (Signature) Received by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysts (Signature) Datefrime <br /> Dispatched by (Signature) Date[Time Received for Laboratory by Datealme <br /> ^�t -1 01 <br /> Method of Shipment Leb tory Name <br /> Special Instructions I her lh nze the p rmanc of the above Indicated work <br />