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Advanced GeoEnvironmental, Inc. wWW.advgeoenv.com CHAIN OF CUSTODY RECORD <br /> X837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1 1 18 Date: I Pae rk of <br /> _ - �� ❑ 381 Thor Place, Brea,California 92821 • Phone(7 14)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,#1 11.Monterey,California 93940 • Phone(800)511-9300 • Fax(83 1)394-5979 <br /> ❑ — v <br /> Project Name Project Manager s <br /> Client Sampler(initials&signature) <br /> Lab Project No.: <br /> Invoice to; AGE El Client <br /> Sample ID/Location/Description Date Time Matrix '.Number '.Votes <br /> U <br /> Ho td <br /> r � <br /> )l 'C <br /> (� <br /> ;L0 3 6)0 . <br /> �•�o l��J 1 -�-c�C <br /> L- 503 _ <br /> Relinquished by: Date: Time:� Laboratory:11- 1`1 ,1 CSC <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 /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hour 5 days(s andard) Other:___ 11 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: geotracker@advgeoenv.com ❑ Global ID: 1 <br /> �j bbb <br />