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Advanced GeoEnvironniental, Inc. www.adveeoenv.com CHAIN/ OF'GCUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 s Fax(209)467-1118 + �rl Date: ` — Page—1 od <br /> ii 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 a 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 /> Client Sampler(initials&signature) <br /> Lab Project No.: <br /> Invoice to; AGE El Client <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> fvtj ,2 7NA 1v�- z azo 3 S 0 2`r ► k3Z5 3 <br /> CW-)Z i31� <br /> Relinquished by: Date: Ti e: Laboratory: <br /> Zel 1?n3 a <br /> Courier: Received by: Date: Time: <br /> 0V C <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> -&^C. <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hour 5 days standard Other: Matrix Codes: A=Air =Water S=Solid <br /> I hereby authorize the performance of the above indicated work. <br /> Special Instructions to lab: <br /> Global ID: �� <br /> Geotracker EDF to� ackerCadvgeoenv.com ❑ <br />