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Advanced GeoEnvironmental, Inc. www.adveeoenv.com CHAIN OFCUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 •Fax(209)467-1118 Date: i I— =LL— ] Page Of <br /> _ .., 381 Thor Place,Brea,California 92821 •Phone(714)529-0200• Fax(714)529-0203 - <br /> �y F—] 2318 Fourth Street.Santa Rosa,California 95404 • Phone(707)570-1418 • Fax(707)570-7461 V Analysis Required <br /> 395 Del Monte Center,#111,Monterey,California 93940 • Phone(800)511-9300 •Fax(831)394-5979 N <br /> Project Name Pro' ct auager <br /> Client Sampler(initials&si nature) S <br /> Lab Project No.: <br /> Invoice to: AGE ❑ Client <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> -fib 11-10-11 s <br /> - S7 <br /> 5- lv CIS <br /> s-zv 3 X X <br /> � - L 1�1� 0 <br /> Relin ed by. Date: Time: Lab gfa�ryy <br /> Courier Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Dale: Time: <br /> Relinquished by: Date: Time: Received by: ^ Date: Time: <br /> I J <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hour 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 LD: <br /> Geotracker EDF to:Elgeotracker@advgecenv.com ❑ <br />