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Advanced GeoEnvironmental, Inc. www.advecoenv.com CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 — <br /> 2 �Q3 Date: ��-� Pageo� <br /> _�,,r_, i�.• � 381 Thor Place,Brea,California 92821 • Phone(714)529-0200• Fax(714)529-0203 o V— <br /> v:•.;: " 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 /> Project Name ❑ Project Manager <br /> Client Sampler(initials&signature) <br /> Invoice to: PAGE ❑ Client Lab Project No.: <br /> 1 v � <br /> ,1 <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> �J?J I X <br /> �7 `� - (5� <br /> �)C'1-7& SSU •.J v <br /> Relinquished y: Dai,: Time: laborato <br /> j �� l 7-0) � M( <br /> ••T- <br /> Courier: Received by: Date: Time: <br /> YJ <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: 7 Dale: Time: <br /> Requested Tum Around Time(circle): 24(tours 48 hours 72 hours rdays(standard Other: Matrix Codes: A=Air W=Water S=Solid <br /> Special instructions to lab: I hereby authorize the <br /> performance of Inc about indicated work GcalmckerEDF IO: ❑ geotrackernadvgeacnv.cont ❑ Global ID: ._ <br />