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Advanced 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.adv(2-eoenv.com <br />' <br />CHAIN <br />Date: <br />OF CUSTOL .ECORD <br />12-12-/1-1 Page / of / <br />_ <br />, Fax (209) 467-1118 <br />Fax (714) 529-0203 (2 - ( 6, <br />570-1418 • Fax (707) 570-1461 <br />(800) 511-9300 • Fax (831) 394-5979 <br />'4837 Shaw Road, <br />,- 381 Thor Place, <br />Analysis Required 71 <br />.. . .. . 2318 Fourth <br />395 Del Monte I ---) <br />* <br />„.., <br />------, <br />C ? <br />( r, <br />'L.. <br />-- <br />`-.. <br />Pr9Rct Name t : <br />TPA/1yr <br />Project Manager . <br />r 4 ec ii:Jrt 4,)4,_ <br />Client ,i \ Sampler (iLitials & signature) <br />Invoice to: AGE El Client <br />Lab Project No.: <br />Sample ID/Location/Description Date Time Matrix Number Notes <br />ill'PLAI--- Ar .'-g-- 12'/P4t1 I ..1--) 4 <br />Relinquished by: <br />1Vi Ii-eLi-- 4M? ) (, <br />Date: ) <br />1212.2- hri <br />Time: <br />P:ria. <br />Laboratory: <br />Ceti <br />Li <br />Courier: Received by: Date: Time: <br />Relinquished by: Date: Time: Received by: Date: Time: <br />Relinquished by: Date: Tme: Received by: <br />.7----- <br />Datei: . Time: <br />Requested Turn Around Time (circle): 24 hours 48 hours 72 hours Kay(standard) Other: Matrix Codes: A = Air W = Water S = Solid <br />Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br />t.f4r <br />Geotracker EDF to: g<;:tracker@advgeoenv.com El Global ID: