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Advanced GeoEnvironmental, Inc. tivww-advLeoenv.com CHAINOFCUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 •Phone(209)461-1006 •Fax(209)467-1118 Date-C(12.2 b Page Z of J/ <br /> 381 Thor Place,Brea,California 92821 •Phone(714)529-0200•Fax.(714)529-0203 <br /> _ �rr <br /> 2318 Fourth Street,Santa Rosa;California 95404-•Phone(707)5'70-11418 •Fax(707)570.-1461.�� 1G' Analysis Required <br /> 395 Dei Monte Center,.#1111 l4onterey,California 93440 +Phone(800)511-9300 •Fax(83 L)394-5979 <br /> r � U <br /> Project Name Project Manager Z <br /> Yhnlr�urJ A <br /> Client Sampler(initials dr signature) <br /> C-� ,o i <br /> Invoice to: AGE C3 Client <br /> No.: <br /> Client ` <br /> Sample[DILocationMeseription Date Time Matrix ' Number Notes <br /> T3�=s ula9 )2-33 X I>(X. <br /> X35-5 9 fl `? i31I <br /> 5-/0 1320 + C.� <br /> IJCo-3 `1121 0` 13 �ti ?� X X <br /> -5 X21 i3 5-5 X X <br /> 13-1- 10 CY.71o 1,V10 Of-b <br /> i32-5 X rX <br /> R " u' ed by: Date-' Time: Laboratory. <br /> Courier: Received by: Date: Time: <br /> 0i'i—Ric <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: ) Date: Time: <br /> Z 3- 3Y <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hours 5 days(standar Other: Matrix Codes: A=Air W=Water S=Solid <br /> Special instructions to lab: -rp J4-Me 11 T90-hra(J;aVAio.r, CaYbae%Ly hCF):cTk(%:AC%.4LJis w1 SPe'atI hereby authorize the performance of the above indicated work. <br /> � Poe p—r <br /> 0 8111 p�j h9dr LL � 4c rlli{ 4i <br /> aic.Ptu�d (EPA&�isi-t?, <br /> Global ID: <br /> Gentracker EDF to:0 geotracker@advgeoenv.com D <br />