Laserfiche WebLink
Advanced GeoEnvironmental, Inc. www.advgeoeilv.com CHAIN OF CUSTODY RECORD <br /> 4837 Shaw Road,Stockton,Califomia 95215 • Phone(209)467-1006 • Fax(209)467-1118 Date: /01'-� Page of <br /> _ ____ .i.• ❑ 381 Thor Place,Brea,California 92821 • Phone(714)529-0200• Fax(714)529-0203 <br /> ;: " ❑ 2318 Fourth Street,Santa Rosa,California 95404 • Phone(707)570-1418 •Fax(707)570-1461 Analysis Required <br /> ® ❑ 395 Del Monte Center,#111,Monterey,California 93940 • Phone(800)511-9300 Fax(831)394-5979 <br /> Project NameProjec aser <br /> 'i�6 su ' --- <br /> Client l ` Sampler(initials S signature) D <br /> 461 WV-1L `�1 <br /> Invoice to: AGE 1:1 Client Lab Project No.: w <br /> r� Sample ID/LacationlDescription Date Time Matrix Number Notes <br /> Relinquishe�L."b�: � Date: Time: Laboratory: <br /> I7 �a 1 J�C I2 11J1 �dr <br /> Courier: Received by: Date Time: <br /> Relinquished by: Daze: Time: Received by: Date: Time: <br /> ERelinquished by: Date Time: Received by: Date: Time: <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hour 5days'standard) Othcr. / Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> Gectracker EDF to:0 geo- 'era 'eocnv.com El Global ID. V✓W"IS�• � Z/( <br />