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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RL`JRD <br /> 837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 o Fax(209)467-1118 Date: Page I Of <br /> i�.., ❑ 381 Thor Place,Brea,California 92821 •Phone(714)529-0200•Fax(714)529-0203 G� — 1 <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 a Phone(800)511-9300 • Fax(831)394-5979 <br /> Project Name Project Manager 1'1 <br /> Client Sampler(initials&signatures <br /> T <br /> Lab Project No.: t <br /> Invoice to: AGE ❑ Client <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> 4 <br /> �DLVV- 10101V <br /> i •*1Z,17I" <br /> Relinquished by Date: Time: Laboratory: <br /> -• CQ� t'L� Time: <br /> Courier: Received by: Date: <br /> Date: Time: <br /> Relinquished by: Date: Time: Received by: <br /> Date: Time: <br /> Relinquished by: Date: Time: Received by: / <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hours 5 days(standar ther: Matrix Codes: A=Air W=Water S=Solid <br /> 1 hereby authorize the performance of the above indicated work. <br /> Special Instructions to lab: <br /> Global ID: <br /> LG.trac�ke,EDF to: geotracker@advgeoenv.com ❑ <br />