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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)467-1118Date: �D"�y Page ;?—of <br /> i.. F-1381 Thor Place,Brea,California 92821 • Phone(714)529-0200• Fax(714)529-0203 U Z <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 <br /> ❑ m <br /> Project Name �` Project Manager <br /> 1')An i���✓j <br /> Gn ` <br /> Client 1' II Sampler(initials&signator V <br /> Invoice to: RAGE ❑ Client Lab Project No.: �, O <br /> Sample 1D/Location/Description Date Time Matrix Number Notes <br /> s yo n 1 <br /> s s >57 <br /> 6 <br /> J <br /> - io x <br /> Relinquished b Date: Time: Laboratory: <br /> C�F 7L <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 /> /2�2l T 212-11 Z 6; !O <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hour 5 days(standard) er. Matrix Codes: A=Air W=Water S-Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work <br /> Gver acker EDF to:0 geovacker@advgeoenv.com ❑ Global ID: <br />