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Advanced CHAIN F CUSTODY RECORD <br /> --- GeciEnvironmental, Inc. Date .S 714113 Page 2— <br /> Of <br /> 837 Shaw Road -Stockton, California-95215- (209)467-1006-Fax (209)467-1118 <br /> Client .0Pro Manag r OL(&- k tw/L- <br /> ` r Tests Required <br /> ro,a'Y' -(9' Pone Number <br /> It-wriP era (S ature) Invoice <br /> Protect NameJ—. AGEClient-Mtt-n S�-60 11 <br /> ❑ <br /> Sample <br /> Sample LocationNo of <br /> Number Description Date Time Water Air Solid Conts Notes <br /> i Comp Grab <br /> - -7 Lq k) <br /> -(y-o <br /> U) 1�A43 �i �� <br /> ern i JJ1e rg to;,�7 <br /> 1- <br /> Received ve y (Signature) Date/Time <br /> 4. .�)y-o3/ <br /> 1 <br /> Reli quished by (Signature) V Received by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for held analysis (Signature) Date/Time <br /> Dispatched by (Signature) \ Date/Time Received for Laboratory by Date/ri� <br /> 0 './ <br /> Method of Shipment Laboratory a e <br /> lak a&taLi <br /> Special Instructions I hereby a a ilia p rmance of the above Indicated work <br />