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� f, f, i� i� i� i� f, i• i� i� � i� i� i� f, � i� � <br /> Advanced GeoEnvironmental, Inc. www,advgeoenv.com p CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 • Fax(209)467-1118 2—O� p Date: 12-16 /1-4Page�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 Analysis Required <br /> ❑ 395 Del Monte Center,#111,Monterey,California 93940 •Phone(800)511-9300 •Fax(831)394-5979 v <br /> Project Name L �G Project Man��er r �C <br /> Client �. Sampler(Initials&signature) <br /> ,�,/ <br /> Lab Project No.: 7Z <br /> Invoice to: RAGE ❑ Client C� <br /> Semple ID/Location/Description E <br /> Time Matrix Number Notes n` <br /> R3iLN L( U 101"4th IN <br /> fw! ' 6- Iv% Ss S ! X X <br /> /i: 3 S 7 J <br /> t1131 Z -- 1'Z:µ S <br /> Alia —1 iz��b S X x .� <br /> �"8iz - 2�'7 12j �5 S l <br /> A—R 0-- C 1;15 i+1 5 X X �A Y- Y- <br /> Relinquithe{Llry' Date: Time: Laboratory: <br /> ter Iz1 /� 10 > 1 <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 /> q`.1(� <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hou 5 ys(standard) Other: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance <br /> of the above indicated work. <br /> Geotracker EDF to:0 advgeeenv.com Global ID: <br />