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Advanced GeoEnvironmental, Inc. www.adveeoenv.com CHAIN OF CUSTODY RECORD <br /> X837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 12-0S9 Date: )2 +i 5 11Y Page / Of 5 <br /> .� .. ❑ 381 Thor Place,Brea,California 92821 *Phone(714)529-0200•Fax(714)529-0203 <br /> '"•• 2318 Fourth Street,Santa Rosa,California 95404 • Phone 707 570-1418 • Fax 707 570-1461 <br /> ?•'.•-.�.,�•:•L.';� � ❑ ( ) ( ) Analysis Required <br /> 395 Del Monte Center,#111,Monterey,California 93940 •Phone(800)511-9300 •Fax(831)394-5979 <br /> Project Name ^ J„ Project Manager <br /> Client d Sampler(initials&signature) N r.. <br /> Invoice to: AGE ❑ Client Lab Project No.: i <br /> Sample ID/Location/Description Date Time Matrix Number Notes } <br /> g v4b,0 �5 <br /> lw - 5 K K X <br /> A `1rS q,5g <br /> f3B9 �1s +o� l� r <br /> io -S 1t5 / X x x y <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: Date: Time: <br /> Nick P k u o )2-q — lu 9: 30q <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hou (standard) Other: Matrix Codes: A=Air W=Water S-Solid <br /> Special Instructions to lab: I hereby <br /> authorize the performance of the above indicated work. <br /> Geotracker EDF to:❑ geo (rr�ageoenv.com 11 Global ID; <br />