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If - CHAIN OF CUSTOAECORD <br /> Advanced <br /> _ Date '� �C U`�Pa9e of <br /> - - GeciEnvironmental, Inc <br /> 837 Shaw Road - Stockton, California - 95215 - (209) 467-1046 Fax (209)467-1118 <br /> Client ' � � .� fi' � Project Manager Tests Required <br /> W <br /> P rte Number (00 <br /> Cit <br /> Sa Ilers (Signature Invoice <br /> AGE FA-, <br /> Project Name - (" �� i Client ❑ <br /> Sam Sample Type Solid le Location No of Notes <br /> Number Description Dale Time Water Air Conts <br /> Comp Grab <br /> l <br /> X�� <br /> N� J <br /> ir I H/ <br /> 97 <br /> Yj <br /> i/--- Cf-f 03 '�J <br /> gals a (Sig tare) i we—VV y 794naturo F [?ats+me <br /> 033 u73(1 <br /> Relinquished by (Signature) Received by (Signature) Date/Time <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysts (Signature) Dale/T+me <br /> Dispatched by (Signature) Date/Time Re ad aboratory by ateIT+me <br /> V-.?/ s � _ <br /> Method of Shipment LaboratoryName <br /> RR <br /> I hereby authorize the perto ance of the above indicated work <br /> Special instruet+ons <br />