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/�(lVjlnced GeoEnvil-onniental, Inc. www.adveeoenv.coru CHAIN U CUUSTODY RE ORD <br /> 837 Shaw Road,Stockton,Califomia 95215 •Phone(209)467-1006 • Fax(209)467-1118 pate _i/p0f� <br /> ______ ��..- ❑ 381 Thor Place,Brea,California 92621 •Phone(714)529-0200• Fax(714)529-0203 09-1 <br /> " ❑ 2318 Fourth Street,Santa Rosa,California 95404 . Phone(707)570-1418 •Fax(707)570-1461 Analysis Required <br /> ❑ 39S Del Monte Center,#1 11,Monterey,Califomia 93940 •Phone(800)511-9300 •Fax(831)394-5979 <br /> Project Name C Project Manager <br /> if <br /> ('tient .J Samplerollifials K signature) Q' <br /> C <br /> Invoice to: AGF ❑ Client Lab Project NJ.: ��JJ <br /> Sample ID/Location/Description Date Time Matrix Number Notes +� <br /> KIT <br /> Relinquished beDate / Ti laboratory: <br /> G <br /> ourier I Received by: Date <br /> Time'. <br /> Relinquished by: Date. Time: Received by: Date Time: <br /> Relinquished by. Date: Time: Received by. J Datc: Time: <br /> a `9 _ Ib 9: <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hours da s(standard) 0 M - Codes: A=Air W—Water S=Solid <br /> Special Instructions to lab: 1 hereby a thori dte otmance o the above indicated work. <br /> Geotmcka FDF to.D geotracken'aadvgeoenv.com n Glubal II): <br />