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® Advanced GeoEnvironmental, Inc. invw dvgeoenv com CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 m Fax(209)467-1118 Date: Page—L04- <br /> 381 <br /> ageI Of- <br /> 381 Thor Place,Brea,California 92821 a Phone(714)529-0200•Fax(714)529-0203 Q 7–o 5 Z, <br /> ❑2318 Fourth Street,Santa Rosa,California 95404 u Phone(707)570-1418 a 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 /> 1 <br /> Project Name Pro ect M12 <br /> anager <br /> �L�lJ ` brirwe�e� `x 4su <br /> Client Sampler{Initials&s mature) <br /> I U <br /> Involce to: AGE ❑ Client Lab Project No.: <br /> Sample lD2oc2tion/Dncription Date Time Matrix Number Notes <br /> 1 •- o @ j <br /> �— ' 0� /� y ,� x <br /> RZ ' Q S1 +�� "y � <br /> ME <br /> 3 - q- 1 k <br /> Za W x <br /> •- t 3� w x <br /> Reli � D�(f; _� Ti Laboratory: <br /> Couri , Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Rclinquished by: Date: Time: Received by: Date`:'? Time: <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hou 5 days(standard) er. Matrix Codes: A=Air W=Water 5=Solid <br /> Special Insnocdons to lab: I h'eereebby/y authorize the performance of the above indicated work. <br /> Geotmcker EDF to:❑ geo[racker(o:advgeoenv.<om 0 Global ID: <br />