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i>�ai taf 0111111111111111111 <br /> ( Advanced CHAIN OF CUSTOD RECORD <br /> GeciEnvironmental, Inc. Date oZ Page --L of <br /> 837 Shaw Road- Slockton, California-95215- (209)467-1006 - Fax (209)467-1118 <br /> Client Project Manager <br /> !-C.� ---- Tests Required <br /> Phone Number <br /> Samplers (Signature) Invoice <br /> Project Name � ', AG -511 <br /> E <br /> Sample Type Solid Client <br /> Sample Location Date Time No of <br /> Number Description Water Air Conts 1 Notes <br /> Comp Grab <br /> AUX) /AQ 341ero-L :L, <br /> fd iiov <br /> 4z&-0-J 5 <br /> -sem <br /> "u1 <br /> ° <br /> e ingws y Ig tur ) �9 ece ve y ignature Dale/Time <br /> R011ed by (Si ure) Received by (Signature) Dats/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) J Date/Ttme <br /> Dispatched by (Signature) Date/Time Recel d r or ory by Dai /Time/� <br /> 'z,�flU <br /> Method of Shipment oratory s <br /> v <br /> Special tnsttuct+ons I hereby authorize the performance of the above Indicated wor) <br />