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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 209 467-11 IS _ 11 _ <br /> '� ( ) ( ) Tlare• {{�- I I — � i Page 1 of <br /> �®p'.. 71381 Thor Place,Brea,California 92821 •Phone(714)529-0200* Fax(714)529-0203 1 <br /> ❑ 2318 Fourth Street,Santa Rosa,California 95404 a Phone(707)570-14I8 a Fax(707)570-1461 - Analysis Required <br /> ❑ 395 Del Monte Center,#111,Monterey,California 93940 a Phone(800)511-9300 •Fax(831)394-5979 <br /> ^.v <br /> ElProject Name Pro, ct Manager S <br /> OI <br /> - z <br /> Client Q Sampler(initials&at nature) Ij <br /> Lab Project No.: V) <br /> Invoice to: AGE ❑ Client V <br /> Sample ID/LocationlDescription Date Time Matrix Number Notes ` ! <br /> X X <br /> — <br /> }� { - `Lc <br /> I- 3t> 015 <br /> �r q <br /> 1 2 1000 1 X x <br /> Relinguishedby: Date: F {t Time: Laboratory: / <br /> Courier Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: r- t n Date: Time: <br /> Requested"Cum Around Time(circle): 24 hours 48 hours 72 hour 5 days(standard) they: Matrix Codes: A=Air W—Water S—Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> r <br /> 1 <br /> Geotracker EDF to: geotracker@advgeoenv.com ❑ Global ID: �- �/ �••�- `�� <br />