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Advanced GeoEnvironmental, Inc. www.adv¢eoenv.com CHAIN OF CUSTODY RECO <br /> I X 1837 Shaw Road,Stockton,Califomia 95215 • Phone(209)467-1006 • Fax(209)467-1118 Date: /�—( Page ,of <br /> ❑-J381 Thor Place,Brea,California 92821 a 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 <br /> Project Name,\ Project Manager <br /> rA �g1VV P rL : <br /> Client Sampler(initials&signature) <br /> Lab Project No.: ^ <br /> Invoice to: , AGE ❑ Client <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> 1~ <br /> Ift <br /> e91- -4hA 1 - <br /> Relinquished: Date: Timc: Laboratory- <br /> L� 12 d /f 6 of � 6QU <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Dale: Time: Received by: Date: Time: <br /> Relinquished by: Date; Time: ived by: Date: Time: <br /> r <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hoursda (standard) Other: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: 1 hereby authorize the <br /> performance of the above indicated work. <br /> Global ID: <br /> Geotracker EDF to:1: g t e vgeoenv.com 11 <br />