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_ MM-- MM MGM MMMMMMMMMM MMM <br /> Advanced CHAIN OF CUSTODY RECORD <br /> -- - =- GeciEnvironmental, Inc. Date Page hof �— <br /> 837 Shaw Road Stockton, California-95215-(209)467-1006-Fax (209)467-1118 <br /> Client Project Man er <br /> •�� Tests Required <br /> tAL01- <br /> P ne Nufnber a <br /> L <br /> 5a 1 nature} ``� Invoice <br /> AGE ❑ <br /> Project Name Client ❑ <br /> Sample Type <br /> Sample Location No of <br /> Number Description date Time Vyater Air Solid Corns Notes <br /> Comp (arab <br /> if <br /> W <br /> ' _11 EA2 t 3l <br /> a inqu y ig at a ece' e y (Signature) t) te/Time <br /> g <br /> I f7 <br /> Relinquished b (Signature) Received by (Signature) foatefrime <br /> Relinquished by (Signature) Received by Mobile Laboratory for field analysis (Signature) Date/Time <br /> Dispatched by (Signature) Date/Time R ei d for borato ata/Time <br /> Method of Shipment a LaborName <br /> it, <br /> -Special Instructions VI hereby a orize the rformance of the above indicated work <br /> I - <br /> -- — <br />