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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 • Fax(209)467-1118 Dater °' —1 Page_L of� <br /> r. ❑ 381 Thor Place,Brea,California 92821 a Phone(714)529-0200• Fax(714)529-0203 �(� _� D <br /> ❑ 2318 Fourth Street,Santa Rosa,California 95404 •Phone(707)570-1418 •Fax(707)570-1461 Analysis RegUflYe61 <br /> ❑ 395 Del Monte Center,#111,Monterey,California 93940 •Phone(800)511-9300 • Fax(831)394-5979 'u <br /> Project Name �L ) Project Manager 1 <br /> T� l� t % i� 'ti r' 1 �- �J 4,j <br /> Client Sampler(initials&signatur f 4:Z <br /> Invoice to: AGE ❑ Lab Project No.:Client <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> A. <br /> �� C•2-It ��Zi- <br /> '2% <br /> M�,?.1 �� •-2i- • 2� <br /> Relinquished by: Date: Time: Laboratory: <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: j Date: Time: <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hot, <br /> 5 days(standard) Oth r: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: 1 hereby authorize the performance of the above indicated work. <br /> i <br /> b1n <br /> Geotracker EDF to: geotracker@advgeoenv.com ❑ Global ID: <br />