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Advanced <br />. 837 Shaw Road, <br />GeoEnvironniental, Inc. <br />Stockton, California 95215 • Phone (209) 467-1006 <br />lireli, Cal i loin ia 92821 • Phone (714) 529-0200 <br />Street, Santa Rosa, California 95404 • Phone (707) <br />Center, pill, Monterey, California 93940 • Phone <br />WWW_ advgeoen V COM CIIALN <br />Date: <br />OF CUSTODY <br />01- ILI- tt Page 3 of <br />RECORD' <br />13. <br />.. <br />Fax (209) 40-1118 <br />Fax (714) 529-0203 0 <br />570-1418 • nix (707) 570-1461 <br />(300) 511-9300 • Fait (831) 394-5979 <br />e 381 Thor Place, <br />Analysis Required . <br />.. 2318 Fourth <br />Li 395 Del Monte <br />......, <br />CZ1. <br />t‘-'1 <br />0 <br />.)0 <br />8 1 <br />.> <br />Project Name CkL cep Ae_ Project Manner <br />Rof)e 7— C . 5ssik AR1- r <br />Client Sampler (initials & signature)/ i..7.4...; <br />carC a <br />ltivMee to: ALit.=. UClient <br />Lab Project No.: <br />Sample ID/Location/Description Date Time Manis Number Notes <br />59 .'* (0 —7 Dc .t ti-it ios8 s I <br />Oct — 12.— 11 ortLi•ir /045 5 I <br />01-14-11 (057 $ t XX <br />01-t -1i•ti 13,t5- ,r 1 1-1-buo <br />Ott - (v. -7 (1(-114 -ft 1319 C t iint-Q <br />31I —12--13 tif - rf.if II 2,2 5 1-1-DtX) <br />6, It — I '1 2-c› (A - V-t It 1 3 37 5 t X X <br />_... _ <br />Relinquished by x44.2; Date: <br />Orr4 -1/ <br />Time: <br />i-10.0 <br />Laboratory.' <br />c7 -eL <br />o I \ fer-Q,Ac- <br />Roe e iNtil br Date: Time: <br />Relinquished by: Dote: Time: Received by: Date: Time: <br />Relinquished by Date: 1 imc: Rived by: n <br />‹. ' 1 11-: - <br />Date: <br />C.--%k <br />Time: <br />Requested Turn AtoLnd Time ciictet: 24 hours 48 hours 72 hours ez.,,,osis 4 stitrulariher. Matrix Codes: A Air W Water S -- Solid <br />Special Instructions to lab: thereby authorize the perfitrtrance of the above indicated work. <br />r <br />Ceotracket EL ,t „. , ..- 4 . ,' ' ' in 4, GIONil ID: