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Advanced GeoEnvironmentai, Ine. www.advgeoenv.com CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 Date:l� Page—Z of Z <br /> 381 Thor Place,Brea,California 92821 • Phone(714)529-0200• Fax(714)529-0203 —w J r <br /> :, -'' .•• ❑ 2318 Fourth Street,Santa Rosa,California 95404 • Phone(707)570-1418 • Fax(707)570-1461 <br /> Analysis Required <br /> ❑ 395 Del Monte Center,#111,Monterey,California 93940 • Phone(800)511-9300 * Fax(831)394-5979 <br /> Project Name Project Manager <br /> e 1 v Place �- Ct 't/ JdA Cit IA- <br /> Client Sampler{initials&signature <br /> Invoice to: AGE ❑ Client Lab Project No.: <br /> v <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> AWL LV <br /> �A� t2 <br /> Relinquished by: Date: Time: �} laboratory: <br /> t� <br /> loo o <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: ) Date: Time: <br /> 1 1 6Z tJ -0, 1 -Y_ �'-' 19.o,:-- <br /> Requested <br /> .Requested Tum Around Time(circle): 24 hours 48 hours 72 hou 5 days(standard) ther: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> Global ID: <br /> rGZt,,ck,r EDF t . 1 geotracker@advgeoenv.com 11 <br />