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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD <br /> �-}, <br /> (E L�JI I V 1837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 •Fax(209)467-1118 ThtP• j - I 1 - it Pnoe Znf19 —I <br /> na381 Thor Place,Brea,California 92821 • Phone(714)529-0200 •Fax(714)529-0203:. � 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 /> O <br /> Pro' Name r ` Prat'S�t Manager �p `� <br /> \ �tCl <br /> Client Sampler(Iinitials&at nature) <br /> V ,v <br /> t � <br /> Invoice to: AGE ❑ Client Lab Project No.: -T <br /> V <br /> G. O <br /> Sample ID/Location/Description Date Time Matrix Number - Notes �,r �'/ <br /> - Zo 1�-iQ-11 IG25 S /c /` <br /> - 1 1Z o <br /> 4 - 10 Iz ;5- <br /> 3 <br /> S I S iZy a <br /> rS ' - ? o t S X <br /> j - 8 z <br /> Lt - 1U17 <br /> - i S 136v <br /> �-Zo til o <br /> Relinq%shad,py: Date: Time: Laboratory: <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Dale: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> ------------ <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 houf 5 days(standard) then: _ Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the Performance of the above indicated work. <br /> ii <br /> Geotracker EDF to: ❑ geotracker@advgeoenv.com ❑ Global ID: <br />