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Advanced GeoEnvironmental, Inc. www.adveeoenv.com CHAIN OF CUSTODY RECORD <br /> LAU837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 •Fax(209)467-1118 Date: (i—1 — I Page Of <br /> i� 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 • Fax(707)570-1461 �J w Analysis Required <br /> 395 Del Monte Center,#111,Monterey,California 93940 • Phone(800)511-9300 •Fax(831)394-5979 <br /> ❑ � rJ <br /> Project Name 12 <br /> n'�– Pro' ct anager <br /> \)3CkK mf CQ 4 <br /> t cc <br /> Client Sampler(initials&signature) <br /> Invoice to: AGE ❑ Client Lab Project No.: <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> :IS s- <br /> 6 -u3u 1 LAO L) v"! X <br /> 5-- S- (4 r� <br /> ,Bs-- 10 l 15 <br /> 5--zb 3 X X <br /> � - S kq 3s- X <br /> iLe2L 14n 14 14x <br /> RelLnQuLshned by: Date: Time: Laboratory: <br /> ) 1 - ) 1 -11 1I 6 ► � <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: ^ zj Date: Time: <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hour 5 days(standard) Cher: (j Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> Geotracker EDF to:0 geotracker@advgeoenv.com ❑ Global ID: <br />