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Advanced GeoEnvironmental, Inc. w_ww.advgeoeiiv.coni CHAIN OF CUSTODY RECORD' <br /> 837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 Date- <br /> 61 <br /> ate: ! _Page '2-0f! <br /> 381 Thor Place, Brea.California 92821 • Phone(714)529-0200• Fax(7 4)529-0203 <br /> V. �'' 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 • Phone(800)511-9300 • Fax(83 1)394-5979 <br /> ❑— — <br /> Pro' t NameProject Manager <br /> M' IhCA I hOLIL4 I '1 cr� M fit-. <br /> Client Sampler(initials&signature) f I a <br /> rk <br /> Invoice to: AGF ❑ Client Lab Project No.: <br /> Sample ID/Location/Description Date 'rime Matrix Number Notes �. <br /> 7 1 I <br /> OC <br /> t � Z Ll <br /> 147) <br /> Ly 611 <br /> i <br /> Rel ishel by: Date: Time: Lab ratory: <br /> "cam e 7 i <br /> OL Ge <br /> Co ier: Received by: Date: "rime: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: ITime: <br /> I -T 2-Zt 12 <br /> Requested Tum Around Time(circle)t 24 hours 48 hours 72 hours 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:Elgcotracker@7)advgeoenv.com Li <br />