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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF`CUSTODY RECORD <br /> Ir 7�1 *171 R17 Chaw Road,Stockton,California 95215 •Phone(209)467-1006 •Fax(209)467-1118 T)nte_• 1 ' f f i PaEe of�1_ <br /> e7a <br /> n5381 Thor Place,Brea,California 92821 e Phone(714)529-0200 a Fax(714)529-0203F-12318 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 /> t� <br /> c <br /> Project Name ) ProjeclO a° <br /> 1 `a4 <br /> Client Sampler(inlRals& tore) C <br /> t <br /> Lab Project No.: -t <br /> Invoice to: 'AGE ❑ Client <br /> Sample[D/Location/Description Date Time Matrix Number - Notes <br /> 15�, �s" 11-1�-11 �� S t <br /> ?G -3h 110 5 <br /> r <br /> I SZ- �� <br /> Relinquished by: Date: Time: Laboratory: <br /> C 1 t 1t -l\ t TEL- <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: c�� Date: Time: <br /> V V - 1i ` I -- 1 1 <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72h 5 daysSs[andard) her: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby <br /> 'authorize <br /> )die performance of the above indicated work. <br /> Global ID: � <br /> Geotracker EDF to:0 geouacka@advgeoenv.com ❑ <br />