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i <br /> C <br /> Advanced CHAIN OF CUSTODY RECORD <br /> GeciEnvironmental, Inc. Date ' 2� Page of�! <br /> 837 Shaw Road - Stockton, California-95215-(209)467-1006-l=ax (209)487-1118 <br /> Client Project Manager <br /> b, e— Trots Required <br /> P one Limber <br /> Samplers (Signature) Invoice <br /> Project Name ` J (' AGE <br /> Client p <br /> Sample Location Sample Type No of `� <br /> Number Description Date Time Water Air Solid Conts Notes <br /> Comp (arab <br /> OAlp I I <br /> 2 a �3�' <br /> mf66 <br /> i <br /> e inquature Received y (Signature) � � OtefTi e��� <br /> Relinquished by (Signature) Received by (Signature) Datellime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) DaterTime <br /> Dispatched by (Signature) Date/Time Received far Laboratory by Date/Tlme <br /> 4,79 <br /> , 9 <br /> Method of Shipment � Laboratory <br /> i <br /> t <br /> Special instructionsL r/ I hereby authorize the performance of the above indicated work <br />