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Advanced GeoEnvironmental, Inc. www.advpeoenv.com CHAIN OF CUSTODY RECORD <br /> X937 Shaw Road,Stockton,California 95215 a Phone(209)467-1006 a Fax(209)467-1118 12-40 L.1 3 pate: 1 Z lq Page-3—of <br /> 381 Thor Place,Brea,California 92821 a Phone(714)529-0200 a Fax(714)529-0203 <br /> : "••_ ❑2318 Fourth Street,Santa Rosa,California 95404 a Phone(707)570-1418 a Fax(707)570-1461 Analysis Required <br /> '•• ••• ❑ 395 Del Monte Center,#1 l 1,Monterey,California 93940 a Phone(800)511-9300 a Fax(831)394-5979 <br /> Project Name Projectnager <br /> -PMa <br /> (.R. ' i1 Ll ti <br /> Client Sampler(initials&signature) <br /> LA <br /> Lab Project No.: <br /> Invoice to: ❑ AGE ❑ Client <br /> SampleeJD/Location/Description Dfa�t�e Time Matrix Number Notes K <br /> `x ` <br /> 7—tD 21 S <br /> 24z) S r x <br /> 2'[t7b kA) <br /> Relinquished by: Date: Time: La <br /> w.c j lz N/rLA 11/77 by ..s T <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 /> c � <br /> N� Phun I2-S- ly 9'2do <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hours 5 aye tandard) Other: Matrix Codes: A=Air W=Water S=Solid <br /> Special instructions to lab: I hereby authorize the performance of the above indicated work. <br /> errea <br /> Global ID: <br /> Geouacker EDF to:Elgeotmekerotv�+, oenv.com ❑ <br />