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Advanced GeoEnvironmental, Inc. www.advgeoenv.co CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 a Phone(209)467-1006 a Fax(209)467-1118 '2-Q j Date: 2— ( --(Page of <br /> i ❑ 381 Thor Place,Brea,California 92821 a Phone(714)529-0200 a Fax(714)529-0203 <br /> �" ❑ 2318 Fourth Street,Santa Rosa,California 95404 o Phone(707)570-1418 s Fax(707)570-1461 Analysis Required <br /> ❑ 395 Del Monte Center,#111,Monterey,California 93940 a Phone(800)511-9300 a Fax(831)394-5979 <br /> Project Name Project Manager <br /> Client Sampler(initials&signature) <br /> �✓� � <br /> WAC1 <br /> -- <br /> Lab Project No.: dct <br /> ,J <br /> Invoice to: AGE El Client �} <br /> Sample 1DILocation/Description Date Time Matrix Number Notes <br /> -55 2��3 �1 ��• j c-J <br /> 1 / ; 5-0 <br /> 11 <br /> J}P 2-1 -S <br /> t3 l2 �� X X <br /> A 2d _ 12 i 2: z_s I <br /> Relinquished by: Date- <br /> } Time: laboratory: <br /> (7%i' 3 � 1 g j rLf l/rL� L �tit� r <br /> Received by: Date: Time: <br /> Courier: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Niels ? Kw 2-� (y 9'30a <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hours6.�a s,(standard) Other: Matrix Codes: A=Air W=Water S=Solid <br /> 1 hereby authorize the performance of the above indicated work- <br /> Special <br /> orkSpecial Instructions to lab: <br /> Global ID: <br /> Geotracker EDF to:❑ geolrerilgccenv,com 0 <br />