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Advanced CHAIN OF CUSTODY RECORD <br /> GeciEnvironmental, Inc. Date b tlfy� Page of Z <br /> 837 Shaw Road-Stockton, California- 95215 - (209) 467-1006- Fax (209) 467-1118 C1 I <br /> ClientProject Manager <br /> �&G���i'C_ �.��� �o � �^ Tests Required <br /> r , Phone Number <br /> 209- 417 - I� <br /> Samplers (Signature) 5 Invoice <br /> Project Name ' t C)� AGE 2 <br /> 'PG,(-( � C. �C W"�% J� Client ❑ <br /> Sample Location Sam ype No of <br /> Number Description Date Time Water Air Solid Conts �� Notes <br /> Comp Grab <br /> f kil AT)"101 S-14-oz / <br /> 602'A":rmo4 Sly-oL <br /> W3�Os'jyp2 <br /> IV4 /orv I 5 m-eL. t2,06 <br /> S--1y-o z 11 3 \ <br /> !w5/OS',yOL <br /> I S--rye f <br /> e uis ey (Signature) Received y ignalure Datefrime <br /> 5--,�1-0 t co <br /> elinquished by (Signature) Received by (Signature) Date/Time <br /> I <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DatelTlme <br /> I <br /> Dispatched by (Signature) DatefTime Receivedf rato by Da ime <br /> Method of Shipment bofatory Name <br /> (5 101 <br /> G�., C�S�It <br /> i�a }nst cti1) D �0 �� i herab au Drize the performance of the above indicated work <br /> 1ILGJJ� _ yl, <br />