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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 V Date: `ZZ Q Page —A of� <br /> 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, # I I I , Monterey, California 93940 • Phone (800) 511 -9300 • Fax (831 ) 394-5979 <br /> Project Na Project Manager <br /> a <br /> e L orad wt ct.cQ.0 GlC 1 <br /> Client Sampler (initials & signature) YV ' . IT .y LD <br /> ox, I 1 <br /> Invoice to: AGE ElClienl Lab Project No.: CDsN <br /> Sample ID/LocationlDescription Date Time Matrix Number Notes `JrtV— ISS, <br /> vv� - I bi ZZ lu CUP ItAL<6 W <br /> ,M <br /> Vol am \3Hl <br /> Relinquished b o7 Date: Laboratory: <br /> ZzloITTitme: <br /> C(51 <br /> Courier: Receivedb : Date: Time: <br /> av\74 c CK" 1ti ° X31 \ o o : oT UX <br /> Relinquishedby: Date: Time: Received by: Date: Time: <br /> Relinquished by: Dare: Time: Received by: Date: Time: <br /> Requested Tum Around Time (circle): 24 hours 48 hours 72 hoursdays (stands Cher: Matrix Codes: A = Air W = Water S = Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> Geonacker EDF t eotraceradvgeoenv.com ❑ Global ID: <br /> : k (kP <br />