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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD, <br /> '0 837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 Date: iPage � of.5 <br /> f r <br /> ❑ 381 Thor Place,Brea,California 92821 • Phone(714)529-0200 e Fax(714)529-0203 Z —G�)�l <br /> 2318 Fourth Street,Santa Rosa,California 95404 • Phone(707)570-1418 9 Fax(707)570-1461 Analysis Required <br /> 395 Del Monte Center,#1 1 I,Monterey,California 93940 • Phone(800)511-9300 • Fax(831)394-5979 <br /> a <br /> Project Name Project Manager <br /> Client Sampler(initials&signature) <br /> Invoice to: AGE ElClient Lab Project No.: <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> /4v icl <br /> Reli ish by: Date: Time: Laboratory: �s <br /> J Li <br /> Courier: Received by: Date: Time: <br /> 0 r raC: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Requested Turn Around Time(circle): 4 •ours 48 hours 72 hours 5 days(standard) Other: Matrix Codes: A=•Air =Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> Leotrack <br /> 6 Global ID: <br /> OF er EDF to:E3geotracker@advgeoenv.com ❑ <br />