Laserfiche WebLink
� t• t• t! t• t! t! t! � t! t!� � � t• t• t! � t! t! <br /> Advanced GeoEnviaronmental, Inc. www.advizeoenv.com CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 • Fax(209)467-1118 12' d jb Date: 2' 1l l Page -�3 Of�J <br /> �... ❑ 381 Thor Place,Brea,Califomia 92821 •Phone(714)529-0200•Fax(714)529-0203 <br /> 2318 Fourth Street,Santa Rosa,California95404 •Phone 707 570-1418 •Fax 707 570-1461 <br /> :;.',-.',�„/.,` - ❑ ( ) ( ) Analysis Required <br /> ❑ 395 Del Monte Center,#111,Monterey,California 93940 • Phone(800)511-9300 •Fax(831)394-5979 Cq <br /> ❑ <br /> Project Name Project Manager <br /> Client Sampler(initials&signature) -4 �. r <br /> �- Ir7�ti'rtuyv � <br /> L <br /> }� f <br /> Invoice to: .+�, AGE ❑ Client Lab Project No.: 6� '(JJ <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> 1 Q <br /> " <br /> : )0 <br /> 2' a <br /> fM; 49 2 `- ?� <br /> iS—���� <br /> Relinquished — Date: Time: Laboratory: 9 ) <br /> X12 IT � r Ted, ttvu,,� � <br /> Courier.U24Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> N;cJ(' Ph un h'9 -Ill q-ML, <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hoursa standard) Other: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the perfoornance of the above indicated work. <br /> Global ID: <br /> Geotracker EDF to:13geooik geoenv.com El <br />