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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: 115-Page / Of <br /> _____ ��.• 381 Thor Place,Brea,California 92821 • Phone(714)529-0200• Fax(714)529-0203 0 C-02,7 <br /> El 2318 Fourth Street,Santa Rosa,California 95404 • Phone(707)570-1418 •Fax(707)570-1461 Analysis Required <br /> ® F-� 395 Del Monte Center,9111,Monterey,California 93940 • Phone(800)511-9300 • Fax(831)394-5979 <br /> El <br /> Project Nameer <br /> T c} Proje 'Nnnag �-' <br /> , r6 u 4 <br /> Client ( Sampler(initials S signature) <br /> Invoice to: ' AGE ❑ Client Lab Project No.: W <br /> Sample ID/Location/Description Date Time Nlntrtx Number Notes <br /> i <br /> RelmquishcDace: 1 Times Laboratory: <br /> 17 a;' _Z� 1 !ec l2 17J1 ' �ndr <br /> Courier: Received by: Date: rime: <br /> Relinquished by: Date: Time: Received by: Date: Time <br /> Relinquished by: Date: Time: Received by: J (, Date: Time: <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hour 5days'standard) Other: / Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> Geotracker EDF to:❑ geo cr a ,eoenvxom ❑ Global ID: ��w"ts�•ljs,Q� `^ <br />