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Advanced GeoEnvironmental, Inc. www.adveeoenv.com CHAIN TODy RECORD <br /> + 837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 • Fax(209)467-1118 f� r <br /> Date: L.. pag aof�J <br /> 381 Thor Place,Brea,California 92821 •Phone(714)529-0200•Fax(714)529-0203 <br /> : .tr. F--J 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 Name Project Manager <br /> [WM1 Sampler gavals&signature) p <br /> Invoice to: AGE 11 Client Lab Project No.: <br /> Sample ID/Location/Description Date Time Matrix Numberi�tr4 <br /> Relinquished by: Date: Tu: �aborawr;: <br /> Courier: t _ Received by: Dpie; Tima; <br /> Relinquished by: Date: Time: Received by: Dav: Time: <br /> Relinquished by: Date: Time: Received by: Date: �m <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 houl`s 5 days(stand d) Other:_ Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab; I hereby authoaize the performance of she above indicated work. <br /> i <br /> Geotracker EDFeoti ackcr(ma¢vgeoeraw sora 1-1Global 1D: P) ,- <br />