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Advanced CHAIN OF CUSTODY RECORD <br /> Date -a8`�l Page �4— <br /> GeciEnvironmental, Inc. <br /> 4005 North Wilson Way-Stockton,California-95205-(209)467-1006-Fax(209)467.1118 <br /> Client ��� Protect Manager <br /> Lee f U ( f Tests Required <br /> Phone Number <br /> (2Gq) 4 7- i'3 6w � <br /> Samplers: (Signa pre) 6Q\� Invoice: <br /> (�st <br /> AGE [S <br /> Project Name'i4(F( ����nlG, _ Lpv t �� <br /> �D Client <br /> Sample Location Sample Type No. of <br /> Number Description Date Time Water Solid 59999 <br /> p Air Conts. <br /> Comp. Grab. <br /> 62.oS-G/ <br /> 60000 _ <br /> NoLD <br /> 20 j'Z, (Y <br /> 2--5- b?.1V,� I✓Ay 60001 <br /> i : ( i nature) re Date/Ti e <br /> oz-i2al �z:v�_ <br /> Relinqu hed by: (Signature) Received by: (Signature) H <br /> S�ArJ . •7` 60002 <br /> Relinquished by: (Signature) Received by Mobile Laboratory for field analysis:(Signature) N <br /> 60003 <br /> t.' Dispatched by: (Signature) Date/Time Received for Labor to y by: y` AA <br /> ��.. % t�tJ c�/ .L 1 a 1'tit 60 <br /> 0�# <br /> Method of Shipment: WAS O&G METALS OTHER `JrLaboratory 60005 <br /> ame SCC H <br /> L(�P' �� (� <br /> Special Instructions: ICE/toI hereby authorize The r'ormance of <br /> the aoove inuica�tlu wain. <br /> APPROPR!Af E <br /> ----- <br /> HEAD SPACE Ahciff C0P1Ti`.!N R ��� <br />