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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD _ <br /> _ 16837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 Datej�_�_ I_Page A of� <br /> 381 Thor Place,Brea,California 92821 • Phone(714)529-0200 • Fax(714)529-0203 -1 Ci <br /> F-� 2318 Fourth Street,Santa Rosa,California 95404 • Phone(707)570-1418 • Fax(707)570-1461 Analysis Required <br /> El 395 Del Monte Center,#111,Monterey,California 93940 a Phone(800)511-9300 • Fax(831)394-5979 <br /> Project Name ❑ PrTt N anager !" <br /> zy p1VJ <br /> f3� <br /> Client Sampler(initials&s' to <br /> Lab Project No.: <br /> Invoice to: AGE ❑ Client <br /> Sample ID/Location/Description Dale Time Matrix Number Notes <br /> 3�, -Z� 11-t a•-1 I �® S I <br /> I <br /> Date: ` Time: Laboratory:/ <br /> R dby: <br /> Date: Time: <br /> Received by: <br /> Courier: <br /> Date: Time: <br /> Date: Time: Received by: <br /> Relinquished by: <br /> - Date: Time: <br /> Dale: Time: Received by: r./: <br /> Relinquished by: <br /> Matrix Codes: A=Air W-Water S=Solid <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hou 5 days standard). then. I hereby authorize the performance of the above indicated work. <br /> Special Instructions to lab: <br /> Global ID: <br /> Geotracker EDF to:0 geotracker@advgeoenv.com ❑ <br />