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Advanced Ge®Envir®nmental, Inc. www.advaeoenv.com <br />Shaw Road, Stockton, California 95215 ® Phone (209) 467-1006 o Fax (209) 467-1118 <br />CHAIN OF CUSTODY RECO RD <br />Date: V Page Of <br />,[;�e837 <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 a Fax (707) 570-1461AnalySiS <br />Required <br />® 395 Del Monte Center, #111, Monterey, California 93940 • Phone (800) 511-9300 • Fax (831) 394- 5979 <br />Project Name s P Ma ger <br />Client Sampler (initials & signature) <br />} I <br />44 <br />Lab Project No.: <br />Invoice to: AGE ❑ Client <br />Sample ID/Location/Description Date Time Matrix Number Notes <br />lob <br />XX1X <br />Time: Laboratory: <br />Relinquished by: DRA740'?7� i <br />Courier: Received by: <br />Llmy.__ <br />Relinquished by: Date: Time: Received by: <br />Date: <br />Date: I <br />Time: <br />Time: <br />Relinquished by: Dace: Time: Received by: j'1 / <br />Date: Time: <br />Requested Tum Around Time (circle 24 hairs 48 hotus 72 hours 5 days (standard) Other: <br />Matrix Codes: A = Air W = Water S = Solid <br />Special instructions to lab: <br />1 hereby authorize the performance of the above indicated work. <br />+ } <br />ker EDF to: cmnv.com C3 <br />tracgeotracker@advgcmnv.com <br />Global lD: <br />