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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN O C STORYCORD <br /> J6837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 •Fax(209)467-1118 / <br /> Date: Page of� <br /> �� .• ❑ 381 Thor Place,Brea,California 92821 •Phone(714)529-0200• Fax(714)529-0203 11 <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 Name Project Manager <br /> l�ivtc iA�t_ z� <br /> Client Sampler(initial si ture) <br /> 1 <br /> Invoice to: AGE 11 Client Lab Project No.: - <br /> Sample ID/Location/D7cription Date Time Matrix Number Notes <br /> L 1061,Y3 0 f-- It { '7 Z <br /> Relinquished by: Date: p Time: Laboratory: <br /> G �� <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 /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hours,Ldays(standard)Ot er: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: _ I hereby authori a perfo ante of the above indicated work. <br /> I <br /> /1 <br /> Geoaacker EDF to: ❑ geotracker@advgeoenv.com El Global ID: <br />