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C 837 fil,r4 <br />Advanced <br />Shaw Road, <br />GeoEnvironmental, Inc. <br />Stockton, California 95215 • Phone (209) 467-1006 <br />Brea, California 92821 • Phone (714) 529-0200 <br />Street, Santa Rosa, California 95404 • Phone (707) <br />Center, #111, Monterey, California 93940 • Phone <br />www.advgeoenv.com CHAIN <br />Date: c › <br />OF cusTor 'ECORD <br />i2-ZI - I/ Page / of <br />. <br />I Fax (209) 467-1118 <br />Fax (714) 529-0203 / <br />570-1418 • Fax (707) 570-1461 <br />(800) 511-9300 • Fax (831) 394-5979 <br />81 Thor Place, <br />2318 Fourth <br />395 Del Monte <br />kr- • <br />...:. . i. . Analysis Required <br />°Q <br />Project Name L <br />r f <br />p <br />C ,..)CII/VitO ik) V, e/V-h,' / <br />Project Manager 4 i / 1 <br />Coleitifrivk <br />Sampler (initials & signat3) Client I <br />Invoice to: 0 AGE 0 Client <br />Lab Project No.: <br />Sample ID/Location/Description Date Time Matrix Number Notes <br />riFlu al+ /116 10err- 172,141 05'10 A I X )C <br />FF im efA+ / voyerv t -al H 0 IS'- Pc I ‘ XX <br />Rel nquishedby: , <br />....."''' <br />Date: <br />iZ2i li <br />Time: <br />176r0 <br /> <br />Laboratory: , <br /> <br />C6- 1-ec ti <br />Courier: <br />014,4\16I-C <br />Received by: Date: Time: <br />Relinquished by: Date: Time: Received by: Date: Time: <br />Relinquished by: Date: Time: Received Date: <br />413,0 <br />tO'("'"*"*"•••i'l <br />Requested Turn Around Time (circle): 24 hours 48 hours 72 hour 5 days (standard)Other: Matrix Codes: A = 'r W = Water S = Solid <br />Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br />Geotracker EDF toKgeotracker@advgeoenv.com D Global ID: <br />