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Advanced GeoEnvironmental, Inc. www.advgeoenv.coni CHAIN OF CUSTODY RECORD' <br /> 837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 o Fax(209)467-1118 Date: 1 Page—L of <br /> ❑ 381 Thor Place,Brea,California 92821 • Phone(714)529-0200• Fax(714)529-0203 d 06>Lf <br /> ❑2318 Fourth Street,Santa Rosa,California 95404 • Phone(707)570-1418 • Fax(707)570-1461 Analysis Required <br /> ❑ 395 Del Monte Center,#ill,Monterey,California 93940 • Phone(800)511-9300 •Fax(831)394-5979 <br /> Project Name Project Manager <br /> *SoaLY — Ci R C•, l <br /> Client Sampler(initials&signature) I. - <br /> Ra,j k <br /> ;Q <br /> t <br /> Invoice to: X AGE ❑ Client Lab Project No.: <br /> �J <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> -i �-- �� i X <br /> > p <br /> _ A 'X <br /> -PA- 10 ► 31 o S •x I x <br /> 31/12 l)r'23 S X -< <br /> 3 -- 10 E SIJ .2 701 S _ <br /> Relin uish by: Date: Time: Laboratory: <br /> 1T� is <br /> Courier Received by: Date: Time: <br /> Nn <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Requested Tum Around Time(circle): 4 ours 48 hours 72 hours 5 days(standard) Other: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: 1 hereby authorize the performance of the above indicated work. <br /> "Z <br /> Geotracker EDF to:0 geotracker@advgeoenv.com ElGlobal ID: <br />