Laserfiche WebLink
Advanced GeoEnvironmental, Inc. wAw.advgeoenv.corn CHAIN OF CUSTODY RECORD <br /> ® 837 Shaw Road,Stockton,California 95215 •Phone(209)467-1046 •Fax(209)467-1118 Date: j-2.3. j2 Page_L of <br /> :.ti ❑381 Thor Place,Brea,California 92821 •Phone(714)529-0200•Fax(714)529-0203 1 Z (J s <br /> :}' �: ' ❑2318 Fourth Street,Santa Rosa,California 95404 • Phone(707)570-1418 •Fax(707)570-1461 I Analysis Required <br /> ❑395 Del Monte Center,#I 11,Monterey,California 93940 •Phone(800)511-9300 •Fax(831)394-5979 <br /> Project Name Project Manager d <br /> Client Sampler(initials&signal ) C <br /> ]nvoice to: AGE D Client Lab Project No.: <br /> Sample ID/Location/Description Date Time ;Matrix Number Notes W <br /> It el C09 � 1 <br /> 2 09y 5 S I <br /> 12 311005S <br /> s X <br /> 2 zIL22s r <br /> 2q10 qt, s <br /> 52 W_ 12/3l1100 W 5 X X <br /> 1213111 W <br /> y-W 1213 i2 W 5 X X <br /> 11 11 H <br /> Relinquished by: Date: Time: Laboratory: <br /> 12/3)112- 0p0-al -Rch <br /> Courier Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> ia. L I 1r --iL_ gry, <br /> Requested Turn Around Time(circle): -4 rs 48 hours 72 hours 5 days(standard) Other: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> Geotracker EDF to:0 gtxxrackeriwadvgeoenv.com ❑ Global ID: " <br />