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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD <br /> California9Ph209471006 2094671118 Date: ' — Pae 30 <br /> < 02 f <br /> AF-] <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,#I11,Monterey,California 93940 • Phone(800)511-9300 • Fax(831)394-5979 12 <br /> Project Name t Project Manager _ Jo <br /> t tm LvJ ,u14A 11 JAI u, <br /> Client Sampler(1; <br /> i tials&signature) - Q <br /> _ � J <br /> Invoice to: AGE ❑ Client V Lab Project No.: O <br /> a <br /> Sample ID/LocationlDescription Date Time Matrix Number Notes <br /> N 0 x47-12 40S W <br /> R7 0 <br /> r <br /> U 5 <br /> - H- o �1 I �dY� ✓ <br /> Relinquished by: Date: Time: Laboratory: <br /> o r-70) C1E?1- <br /> Courier: Received by: Date: Time: <br /> r\ Tuff <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> ti � � T -7 Z/// Z- 0:/0 <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hot 5 days(s ard) 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:11 geomcker@advgeoenv.com ❑ Global D: <br />