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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 <br /> Da#e: _Page { of� <br /> 381 Thor Place, Brea,California 92821 • Phone(714)529-0200•Fax(714)529-0203 �),s " 03 7 <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 • Phone(800)511-9300 • Fax(831)394-5979 <br /> Project Name Project Manager <br /> Lac 5") w OJA 03 <br /> Client Sampler(initials&signs ) < <br /> Invoice to: AGE D Client Lab Project No.: <br /> QJ <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> rwv� 3� 6305QZA <br /> v,vi --3 0 k 0S`5_ <br /> MVJ- q FOSI <br /> f,AW- b S <br /> ` k c) <br /> 17 <br /> Relinquished by:./// Date: OSl,, Time: Laboratory: <br /> /J <br /> Courier:Courier: Received by: Date: Time: <br /> GAG <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: <br /> •� � Time: <br /> 9:3¢x. <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hours days(standard ther: Matrix Codes: A=Air w=water S=Solid <br /> Special Instructions to lab: 1 hereby authorize the performance of the above indicated work. <br /> osee <br /> Geotracker EDF t eotracker@advgeoenv.com 0 Global ID: �� <br />