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Advanced GeoEnvironmental, Inc. www.adveeoenv.coni CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 Date: 'S ' J� Pagett o t <br /> 381 Thor Place,Brea,California 92821 • Phone(714)529-0200•Fax(714)529-0203 Q� Z <br /> ❑ 2318 Fourth Street,Santa Rosa,California 95404 • Phone(707)570-1418 • Fax(707)570-1461 J ,Analysis Required <br /> ® ❑395 Del Monte Center,#111,Monterey,California 93940 •Phone(800)511-9300 • Fax(831)394-5979 <br /> Project Namle t - Praycet anagc / / I <br /> I I VSc C ter\- tL'k / , 7 ( <br /> Client Sampler(initials&si nature) <br /> 9 <br /> Invoice to: Lab Project No.:AG6 ❑ Client `` <br /> C <br /> Sample ID/Location/Description Date Time Matrix Number Notes V <br /> XIX <br /> s- u <br /> lb �SZi <br /> 1st' x <br /> Relinquished by: Date: Timc: Laboratory: <br /> 1 c", C7-FL <br /> Courier;..% Received by: Date: Time: <br /> C)v '�y C"C <br /> Relinquished by: Date: Time: Received by: Dale: Time: <br /> Relinquished by: Dale: Time: Received by: Dale: Timc: <br /> -1_1 :o' <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 It 5 days(standard Other: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instmctions to lab: -- I hereby authorize the performance of the above indicated Work. <br /> Geotracker GDF to:13 gcolmcker@udvgcacnv.com 13 Global ID: <br />