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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD - <br /> 837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 Date: j I I .— I I Page Z-Of�_ <br /> 381 Thor Place,Brea,California 92821 • Phone(714)529-0200• Fax(714)529-0203 \ 1 —\O cll <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 1.13 <br /> D <br /> Pro'ect Name �--� - Pro' ct anager <br /> Client Sampler it as&at nature) <br /> {a'J1 V <br /> i <br /> Lab Project No.: <br /> Invoice to: AGE ❑ Client V <br /> Q.- O <br /> Sample ID/Location/Description Date Time Matrix Number Notes f- <br /> 2-Z-0 1l-1011 I �ZS S X X <br /> - 5 �Z 36 <br /> rS�l - I� <br /> Rel in � y: Date: Time: Laboratory: <br /> - � - e►�c_ <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: ^ // Date: Time: <br /> i <br /> Requested Tum Around Time(circle): 24 hours 48 hou[s 72 ho 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 /> Global ID: <br /> GeoVacker EDF to:ElgeotrackerQadvgeoenv.com ❑ <br />