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Advanced GeoEnvironmental, Inc. nLym Pdveeoenv.com CHAIN OF CUSTODY RECORD <br /> ® lL�837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 •Fax(209)467-1118 t - Date: 1 Z� "1 S Page L O�— , <br /> 381 Thor Place,Brea,California 92821 a Phone(714)529-0200 a Fax(714)529-0203 O t <br /> '.v ❑2318 Fourth Street,Santa Rosa,California 95404 a Phone(707)570-1418 a Fax(707)570-1461 Analysis Required <br /> ❑395 Del Monte Center,#I 11,Monterey,California 93940 •Phone(800)511-9300 a Fax(831)394-5979 <br /> Project Name Project Maaa er <br /> AnA� rJ R f_ IJ-N 1 , CjFJAI� <br /> Client Sampler(initials& tura) �t <br /> Lab reject No.: <br /> Invoice to: AGE Cl Client <br /> Sample ID/I.oeation/Description Date Time Matrix Number Notes <br /> 5V L <br /> S I -y I (5 Sv- <br /> 1. 71S <br /> 5,,jy - 1 I2' ) b 5V <br /> Relinquished by: Date: Time: 1-a <br /> J_ zFy— 17 S%°o �/J Icy <br /> Received by' Date: Timd: <br /> Courier. <br /> Relinquished by: a Date: Time: Received by: Date: Time: <br /> Date: Time: Received btttl <br /> Date: Time: <br /> Relinquished by:Requested Tum Around Time(circle): 24 hours 48 hours 72 hours days(standard) alterMatriz Codes: A=Air W-Wattt 5=Solid <br /> Special Instructions to lab: hereby authorize the performance of the above indicated work. <br /> Global ID: <br /> Gcouacker EDF to:Elce <br /> gwtracker(¢advgenv.com ❑ <br />