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I. <br /> Advanced GeoEnvironmental, Inc. www.advgeoenv•com CHAIN OF CUSTODY RECORD, <br /> 837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1 1 18 Date: I' - ► I Page of5 <br /> F1 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,#I 11,Monterey,California 93940 • Phone(800)511-9300 • Fax(831)394-5979 <br /> Project Name I_ Project Manager l <br /> Client Sampler(initials&signature) <br /> Invoice to: AGE ❑ Client Lab Project No.: <br /> Sample ID/Location/Description Date Time Matrix 'Number Notes <br /> t — <br /> vo. <br /> f 5 <br /> — <br /> Relinquished by: Date: Time: Laboratory: <br /> c- o0 <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: i Date: Time: <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hour 5 days s ard) Other: _ Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: VI hereby authorize the performance of the above indicated work. <br /> Geotracker EDF to: ❑ geotracker(aadvgeoenv.com ❑ <br /> Global IU: <br />