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Advanced GeoEnvironmental, Inc. www.advgecenv corn <br /> CHAIN OF CUSTODY RECORD <br /> 0837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 •Fax(209)467-1118 <br /> ❑381 Thor Place,Brea,California 92821 •Phone(714)524-0200•Fax(714)529-0203 Date: 3'-1t-r Lf Page of <br /> 3_a� <br /> '�;:�::•:• ❑2318 Fourth Street,Santa Rosa,California 95404 •Phone(707)570-1418 *Fax <br /> (707)570-1461 <br /> s7o-1461 Analysis Required <br /> 395 Del Monte Center,#111,Monterey,California 93940 • Phone(800)511-9300 • Fax(831)394-5979 <br /> Project Name <br /> iProject Manager <br /> Client <br /> Sampler(initials&signature) <br /> Invoice to: AGE ❑ Client Lab Project No.: ( " <br /> Sample ID/Location/DescriptionDate Time M "L <br /> Matrix Number N �1 <br /> otes <br /> h � <br /> Zt — '1' <br /> g ` 2 0 <br /> c <br /> linquished b <br /> �i Dated 2`1 Time: Laboratory: 1 <br /> ` r;. � <br /> Courier: � � '�� >-! tial.n n �• <br /> ry �v <br /> Received by: <br /> Date: Time: a; <br /> Rclinyuished by: <br /> Date: Time: Received by: <br /> Date: Time: <br /> Rdinquishcd by: t <br /> Date: Time: Received by: <br /> Detc: Time: <br /> - .. <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hours Xdaysjstlndard) <br /> Special Instructions to lab: Matrix Codes: A=Air W=Water S=Solid <br /> 1 hereby authorize the performance of the above indicated work. <br /> r <br /> Gcotracker P too geotrackcr©advgeocnv.cam 0 Global ID: (� <br />