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Advanced GeoEnvironmental, Inc. www.adv,(eoenv.corn CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 j Date: 1 1-2'7-UPage_- of 3 <br /> ❑381 Thor Place,Brea,California 92821 • Phone(714)529-0200• Fax(714)529-0203 <br /> - 2318 Fourth Street,Santa Rosa,California 95404 • Phone(707)570-1418 • Fax(707)570-1461 Analysis Required <br /> ❑ 395 Del Monte Center,#1 1 1,Monterey,California 93940 • Phone(800)511-9300 • Fax(831)394-5979 <br /> Project Name ❑p , Project Manager ��" <br /> 5 1ctw, UiYvtr i J <br /> Client Sampler(initials&signature >< r <br /> 5 KA Z,,,,aA,'--., Lu <br /> Lab Project No.: —7•- � <br /> Invoice to: ® AGE ❑ Client <br /> Sample ID/Location/Description Date Time Matrix Number Notes '' " . ' <br /> HOLD <br /> It-tq-6-9 1X50 t uL D <br /> Relinquished by: Date: Time: Laboratory: <br /> Courier: Received by: Date: , Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: JReceivedby: Date: Time: <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72hours(5 days(standard Other: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> Global ID: <br /> Geotracker EDF to:la geotracker@advgeoenv.com 13 <br />