Laserfiche WebLink
� tt� � tttt� tttt� ti t� � ttttttttttti eww�rt e— � �• •� <br /> � Advanced <br /> • CHAIN OF CUSTODIORECORD - <br /> GeciEnvironmental, Incc 753 Date Page 12Z- of 2 _ <br /> 4005 North Wilson Way Stockton,California-35205-(209)467 1006-Fax(209)467-1118 i <br /> 1 <br /> Client Prolept Wnager <br /> I <br /> Tests Required <br /> P one Number <br /> v( <br /> Sa leis (Signature) Invoice- <br /> Project Name L AG <br /> v zClient ❑ <br /> Sample Type <br /> Sample Locatlan No of 0 <br /> Number Description Date Time Water Air Solid Con Notes <br /> Comp Grab <br />� 35853 <br /> e in bisy `ignatur acery y ignature ,n V 13_W Date Time <br /> 7z 1414-, <br /> Reli qi ished by (Signature) Received by (Signature) DatelTime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DatetTrme <br /> Dispatched by (Signature) DatetTime Received tot Laboratory by I Date rime <br /> Method of Shiprn(n VOAS JUGIMETALSIOTH aboralory Name <br /> ii <br /> PDrQ <br /> Special Instructions GOOD <br /> CONDITION <br /> OnNA!Dn t O p FIAT -4-hereby authorize the performance of the above Indicated work <br /> P UOOQ LUIVI'�I�U�HEAUG SPAGE ABUQU V �Ill]E ftEti!E Y /�/� <br /> � b <br />