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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 a Phone(209)467-1006 •Fax(209)467-1118 { Date: "7L}"j i Page-�- of <br /> ��... 381 Thor Place,Brea,California 92821 •Phone(714)529-0200 s Fax(714)529-0203 l �.. -0 �; <br /> ❑2318 Fourth Street,Santa Rosa,California 95404 a Phone(707)570-1418 •Fax(707)570-1461 Analysis Required <br /> ❑395 Del Monte Center,#111,Monterey,California 93940 •Phone(800)51 1-9300 o Fax(831)394-5979 <br /> Project Name Project Manager c <br /> Client Sampler(initials&z sign fie) ! i <br /> r? <br /> Lab Project No.: <br /> Invoice to: AGE ❑ Client <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> S-0 <br /> Relinquished by: Date: Time: Laboratory: <br /> I () <br /> Received by: Date: Time: <br /> Courier: <br /> �` <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hou 5 days(sto t?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 /> Geotracker EDF to:Elgeotracker@advgeoenv.com 0 <br />