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'RAIN OF C'IUS M '( PRECISION ENVIRO-TECH <br /> + rmaa n�, ` REPORT INFORMATION �ri„ <br /> +, . CLIENT INFORMATION <br /> • <br /> Customer ID: ADGEO Rush Analysis: 5 days: r 2 Days: 10' 24 bra: WJ <br /> Company Name: Advanced GeoEnvironmental, Inc. Subject to Surcharge <br /> Adress: 4005 N.Wilson Way <br /> QAIGC report Required: Yes: Mit No: <br /> City: Stockton If yes. To: State: r Client: r Other: n <br /> State: CA. LAB SAMPLE NUMBER: <br /> Zip Code: 95205 <br /> I <br /> Phone: 12091467-1006 SAMPLING INFORMATION <br /> Fax: 12091 467-1118 <br /> Contact Person: William Little Sampler 151: _ _ _ Employed by: <br /> Comp Sampler Setup Date: Time: <br /> Sampling Charge: Yes: I . No: Ile' <br /> If Yes -Time Travel to Site: Mileage: <br /> SAMPLE INFORMATION <br /> Sample Location Description Date Time Type of Sampling Type of Sample Matrix Preservative ANALYSES REQUESTED <br /> No. Sample Sample Container <br /> Composite mastic/Glass <br /> " 7q� —r 11 V • y ��/ p <br /> MI_ <br /> 0 ol�n,Q <br /> �// L ? Compose lous/tiic/Glass <br /> L L �V D//I r'1Grab i (VI <br /> "� -- i — (j'——composite PPassttic/Glass — ---- --�1 / <br /> C�lr a' �I�j Grab IV 1T <br /> _ 1 <br /> Composite mastic/Glass <br /> Grab <br /> Cpmposlte mastic/Glass <br /> Grab <br /> CUSTODY *Time <br /> Relinquished by DateTimeReceived by: T Date Time <br /> Relinquished by: DateTimeReceived by: Date <br /> Relinquished by: -Date-Time-Received by: -Date-Time- <br /> PRECISION <br /> ateTimePRECISION ENVIRO-TECH 2040 E.HARDING WAY, SUITE B STOCKTON,CA.95205 <br /> PHONE: (2091462-0892 FAX:12091 462-7935 E-MAIL:JONL1597@AOL.COM <br /> Pink-Field Copy White-Report Coppy Yellow- Laboratory Copy <br />