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Advanced GeoEnvironmental, Inc. www.adveeoeay.com CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 Date:�'i I , 1 1 Page I Of `y <br /> _ <br /> F-1 381 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.#111,Monterey,California 93940 • Phone(800)511-9300 • Fax(831)394-5979 <br /> Project Name L Pr 'ect1V[aen�ager <br /> 11DD � <br /> Client Sampler(initials&si nature) <br /> C��� ,Jq <br /> Lab Project No.: V <br /> Invoice to: �! AGE El Client � O <br /> Sample ID/Location/Description Date Time Matrix Number Notes -� <br /> 1 >tZ <br /> 0830 <br /> 3i - �S w35 <br /> 13 '1 - Za Og�o jC <br /> X' . <br /> y_5 WOO <br /> Relin Date: Time: Laboratory:/ <br /> �� ' 1 � ) — 1 I I l„1 ✓ Date: Time: <br /> Courier: ` Receivedd by: <br /> Date: Time: Received by: <br /> Relinquished by: Dace: Time: <br /> Date: Time: Received by: _ ) Date: Time: <br /> Relinquished by: ,,, 11 — ( t — 1 I I 10. s, <br /> Matrix Codes: A=Air W=Water S Solid <br /> Requested Tum Around T5 days(stand <br /> 'me(circle): 24 hours 48 hours 72 hour ard) dter: <br /> ✓W = <br /> I hereby authorize the performance of the above indicated work. <br /> Special Instructions to lab: <br /> Global lD: <br /> Geonacker EDF to, geotracker@advgeoenv.com ❑ <br />