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Advanced GeoEnvironmental, Inc. www.adveeoenv.com CHAIN OF CUSTODY RECORD <br /> g837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 •Fax(209)467-1118 Date: > i�)L- Page-.5' o <br /> 381 Thor Place,Brea,California 92821 • Phone(714)529-0200• Fax(714)529-0203 c�-�� f T <br /> } F7 2318 Fourth Street,Santa Rosa,California 95404 • Phone(707)570-1418 •Fax(707)570-1461 Analysis Required <br /> ® F� 395 Del Monte Center,#I 1 I,Monterey,California 93940 • Phone(800)511-9300 • Fax(831)394-5979 <br /> E r <br /> Project Name Pro' L'Nhnager <br /> Client SamIcr(initials&si aturc) t� <br /> ��um /''�� <br /> Invoice to: 1iAGE ❑ Client Lab Project No.: Q '\ <br /> 1a V <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> l <br /> YL <br /> Relinquished by: Date: Time: laboratory: <br /> /t <br /> Courier: Received by: Date: Time: <br /> 6,/1� ,na <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time. Received by: n ) Date. Time: <br /> UC � va �. -I - vl Y oc <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hot 5 days(standard 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 /> Gcotmcker EDF to:0 gcotrackerr@advgemnv.com ElGlobal ID: `/ <br /> ��_- <br />