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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 a-cl U Date: ��'' V I Page `-I OfS <br /> i. .. ❑ 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,#1 11,Monterey,California 93940 •Phone(800)511-9300 •Fax(831)394.5979 <br /> El <br /> Project Name�� Project Manager 4 <br /> , 13ill <br /> Client Sampler(initials&signature) Q <br /> IV(d s rt5TVl`-3&) uJ � <br /> Lab Project No.: t is <br /> Invoice to: fKAGE ❑ Client t� � <br /> Semple ID/Location/Description Date Time Matrix Number Notes <br /> A-6i4o 2 �5 S;s5 X -X ?� x <br /> /IA- 14, <br /> Air k>-20 <br /> gra - It a 3: 3� W X x y- k <br /> 0,1j� Jq q,0 S <br /> Relinquished y Dute: 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 /> N��k Phwn tit-9- 9',�Pa <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hours da tandard) Other: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I here/bey tauthorize <br /> -the <br /> pperronnance of the above indicated work. <br /> GeotreckerEDF to: ❑ gectracyr dvv#aenv.com 0 Global ID: <br />