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Advanced GeoE+ nvironnjental, Inc. www.advaeoenv.com CHAIN ®F"7page <br /> U T0DY IECORI) <br /> &837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 a Fax(209)467-1118 Date: of� ' <br /> __ ii ❑ 381 Thor Place,Brea,California 92821 o Phone(714)529-0200 a Fax(714)529-0203 06; _ U <br /> �"• <br /> F-12318 Fourth Street,Santa Rosa,California 95404 a 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 NameProject Manager a '/�� .J <br /> J ' , 1 lut <br /> Client Sampler(initial&signature) <br /> PA-A- 1 C <br /> ��. <br /> Invoice to: `� AGE ❑ Lab Project No.: <br /> Client <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> ^7 ea. <br /> /13 <br /> 4et-- <br /> r <br /> r 2 <br /> EIN it U' 3t <br /> $ 1`f c ' <br /> " b - <br /> Relinquished by: Date: Tim : laboratory: <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: t ,-r Date: Time: <br /> - —' � 9' <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hours 5 days(standard) Other: ! Matrix Codes: A=Air W= ater S=Solid <br /> Special Instructions to lab: r( 9, •� 4 Z "a ? Ob a'r 1 hereby auto ze the performance of the above indicated work. <br /> � � Iitl�.; -l �uJ�-2r>ejG✓ia,�•-3c� �= � CG`� ty �' v� /Q <br /> 0 Sa" ' le A� <br /> Geotracker EDF to:0 geotracker@advgemnv.com ❑ Global ID: <br />