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Advanced GeoEnvironmental, Inc. www.adveeoenv.coi CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 Date: '-_Page Zod— <br /> ii,,., 381 Thor Place,Brea,California 92821 • Phone(714)529-0200• Fax(714)529-0203 t` <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 /> ❑ 5 <br /> PCZ <br /> rotect Name ^� - Pr <br /> to, anager <br /> MClient amp <br /> ler(in.i�tivalls�s&ei nature) <br /> bad <br /> i <br /> Invoice to: AGE ❑ Client Lab Project No.: <br /> {� O <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> 2—Zc� ii-10--11 t �25 S X X <br /> -� <br /> 1Z ,3 a <br /> 133 - 10 tZ <br /> 133 ► S t2- o <br /> C5y - <br /> - 1S Goo <br /> G 1 <br /> Relin y: Date: Time: Laboratory: <br /> I I - I I - I I I -�w (- J (— <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: ^ J, �( Date: Time: <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 ho 5 days(standard) Cher: V Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the Performance of the above indicated work. <br /> Geotmcker EDF to: 11 geotracker@advgeoenv.com ❑ Global ID: <br />