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} <br /> Advanced GeoEnvironmental, Inc. www.advgeoenv.coni CHAIN OF CUSTODY RECORD <br /> © 837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 Date: -1-ti'J� Page ofd <br /> F-� 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 • Far(707)570-1461 Analysis Required <br /> 395 Del Monte Center,#111,Monterey.California 93940 • Phone(800)511-9300 • Fax(83 1)394-5979 <br /> Project Name Project Manager \ 11 fJ <br /> Client Sampler(initials&signature) 6 `r <br /> •} 'X �� ` <br /> Invoice to: AGE ❑ Lab Project No.: <br /> Client `a '• <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> 0333 HOL <br /> HOL D <br /> �-6 _ 1� _u: vii 1 H <br /> 1-25- IN { Uhl <br /> W-ZS-(;r I�22 <br /> b l t-Z5-UI X <br /> Relinquished by: Date: Time: Laboratory: ` <br /> 1 -2 _� ti5� Gti 1c. <br /> Courier: Mwem A? AAAA,11, Received by: Date: Time: <br /> O <br /> Relinquished by: Date: Time: Received by: ate: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hours 5 days(standard} ther: Matrix Codes: A= Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> L <br /> Geotracker EDF to:N geotracker@advgeoenv.com ❑ Global ID: <br />