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Advanced GeoEnvironmental, Inc. www.advPeoenv.com CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 O \ --0'15— —s Page Z.of <br /> 1Date: <br /> i 381 Thor Place,Brea,California 92821 • Phone(714)529-0200• Fax(714)529-0203 <br /> ❑2318 Fourth Street,Santa Rosa,California 95404 • Phone(707)570-1418 • Fax(707)570-1461 Analysis Required <br /> ❑ 395 Del Monte Center,4111,Monterey,California 93940 • Phone(800)511-9300 • Fax(831)394-5979 <br /> El <br /> Project Name Proraoager .( <br /> L d s+ <br /> Client Sampler(ink itials&&M- nature) <br /> 41Jt <br /> � V t <br /> Lab Project No.: t.) <br /> Invoice to: GAGE ❑ Client (� <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> LS <br /> +X _X <br /> Relin n by: Date: Time: Laboratory: <br /> -S - VL <br /> Courier: Received by: Date: Time: <br /> 0t (o h Z i 2 ,o ?VV-\ <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 bou 5 days(standard) Othee Matrix Codes: A=Air W=Water S=Solid <br /> Special instructions to lab: I hereby authorize the performance of the above indicated work. <br /> J <br /> Global 11):Geotracker EDF to:�eotracker@advgecenv.com ❑ <br />