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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD <br /> ® 2r837 Shaw Road,Stockton,California 95215 a Phone(209)467-1006 a Fax(209)467-11 18 Date:Jr/ —� G Page ! of/ <br /> F-� Q 381 Thor Place,Brea,California 92821 a Phone(714)529-0200 a Fax(714)529-0203 3— S <br /> El 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 o Phone(800)511-9300 a Fax(831)394-5979 <br /> Project Name Project Manager <br /> S =� ( %i L 1 <br /> Client Sampler(initials&signature) <br /> Lab Project No.: <br /> Invoice to: MAGE ❑ Client `4 <br /> Sample ID/Location/Description Date Time Matrix Number Notes S� <br /> Sp;- 2 : 3 t) <br /> i <br /> �P2-� 2;25 <br /> s -z 2,3 x <br /> 502-4 -2 , <br /> FF <br /> Date: Time: Laborato <br /> Relinquished by: � <br /> �� <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Dale: Time: Received by: Date: Time: <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hours da s standard) Other: Matrix Codes: A=Air W=Water 5=Solid <br /> Special Instructions to lab: I hereby authorize the peerfo'rm�anjce of the above indicated work, <br /> Global ID: <br /> Geotracker EDF to�geotrackcr rCi advgeoenv.com ❑ <br />