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Advanced GeoEnvironmental, Inc. www adv2eoenv.com CHAIN OF CUSTODY RECORD <br /> 37 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 .Fax(209)467-11 I8 Date: I — S- I Z Page Ot <br /> i .., ?381 Thor Place,Brea.California 92821 •Phone(714)529-0200• Fax(714)529-0203 <br /> 0 ) --03 <br /> F-�2318 Fourth Street,Santa Rosa,California 95404 to Phone(707)570-1418 • Fax(707)570.1461 Analysis Required <br /> '..•, F1 395 Del Monte Center,#111. Monterey, California 93940 to Phone(800)511-9300 • Fax(93 1)394-5979 <br /> Project Name ❑ Pro'eet Manager <br /> Client Sampler(initials&si nature) 6 <br /> J <br /> l ^ I <br /> SAGE ❑ Client Lab Project No.: G.) <br /> Invoice to: 1� y <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> A ly <br /> -zlo A x X <br /> - 1 095-0 S I <br /> V- IS' oS <br /> 3-7 -Zn <br /> - 3� los <br /> It <br /> 1 <br /> Relinquis Date: Time: laboratory: <br /> -5- 1Z G <br /> Courier: Received�by, , A ^^ Date: Time: <br /> 0 Vin <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 days(standard) er: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> Global ID: <br /> GeoVacker EDF to:Ageovacker[;u),advgeoenv.com Cl <br />