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. <br /> Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORb` <br /> K38837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 Date: '�'I Page Y of <br /> 1 Thor Place,Brea,California 92821 • Phone(714)529-0200• Fax(714)529-0203 <br /> _--- i. <br /> 2318 Fourth Street,Santa Rosa,California 95404 • Phone(707)570-1418 • Fax(707)570-1461 Analysis Required <br /> ❑ 395 Del Monte Center,#111,Monterey,California 93940 • Phone(800)511-9300 • Fax(831)394-5979 <br /> ElProject Name Project Manager ++ J <br /> Client Sampler(initials&signature) <br /> k4a�A� <br /> Lab­P, ect No.: �'•'• y", v <br /> Invoice to: AGE 13Client <br /> Sample ID/Location/Description Date Time Matrix Number Notes ^� <br /> 1- 0`0 — <br /> U• 16 I'�C� b <br /> n <br /> lL - ty �3�v <br /> [3Lf50 <br /> c - 5 ►� i� <br /> Relinquished by: Date- Time: Laboratory: <br /> 1 <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: q^ f Date: Time: <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 how 5 days()andard) Other: Matrix Codes: A=Air W=Water S Solid <br /> Special Instructions to lab: 1 hereby authorize the performance of the above indicated work. <br /> Geotracker EDF to:❑ geotracker wadvgeoenv.com ❑ Global ID: <br />