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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD _. <br /> 837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 •Fax(209)467-1118 Date: I i —i 1 —11 Page A' of <br /> 381 Thor Place,Brea,California 92821 • Phone(714)529-0200• Fax(714)529-0203 \t _) fl/1 . <br /> 2318 Fourth Street,Santa Rosa,California 95404 • Phone 707 570-1418 • Fax 707 570-1467 `G <br /> ❑ ( ) ( ) Analysis Required <br /> ❑ 395 Del Monte Center,#111,Monterey,California 93940 i Phone(800)511-9300 • Fax(831)394-5979 <br /> El <br /> Project Name • PrgJyet anager <br /> Client Sampler &Sj ture) <br /> Invoice to: AGE ❑ Client Lab Project No.: <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> '3(o -zs' 11-1 v-1/ vo S <br /> 3(o a )st v 5 J <br /> ISZ5 <br /> R d by: Date: Time: laboratory: <br /> t-ki 1-l\ —1002— CTEL- <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 /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hou 5 days standard) Cher: 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 0 Global ID: <br />