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La GeoEnvironmental, Inc. xww.advaeoenv.corn CHAIN <br /> �O ' CSTODY RECORD <br /> y <br /> ® ILJ 837 Shaw Road,Stockton,Califomia 95215 * Phone(209)467-1006 *Fax(209)467-1118 2-0/ 61 Date: Page off <br /> ❑381 Thor Place,Brea,California 92821 a Phone(714)529-0200• Fax(714)529-0203 0 to <br /> ❑ 2318 Fourth Street,Santa Rosa,California 95404 • Phone(707)570-1418 •Fax(707)570-1461 Analysis Required <br /> F-1395 Del Monte Center,NI 11,Monterey,California 93940 a Phone(800)511-9300 • Fax(831)394-5979 <br /> Project Name Project Mana r <br /> IS <br /> Client Sun initials&signaturcl <br /> Invoice la: Lab Project No.: <br /> O ACE ❑ Client <br /> Sample ID(Location/Description Date Time Matrix Number Notes <br /> I I � I ---:T <br /> 0 32 jY NT I <br /> Relinquish d b Datc: Tioure laboratory: <br /> 0 16 <br /> W <br /> Courier: Received by: Date: Time. <br /> Relinquished by: Date: Time: Received by: Date: Hme: <br /> Relinquished by Date: Time. Received by: Date: 'Dime: <br /> Requested Tum Around Time(circle). 24 hours 48 hours 72 hours 5 da s(standard) her: Matrix Codes: A=Air W-Water S-Solid <br /> Special Instructions to tab: 1 her y a horize the donna ice of the above indicated work. <br /> Geotracker EDF to:0 geoirackerwyadvg Global If a <br /> euenv.wm ❑ <br />