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Advanced GeoEnvironmental, Inc. w%wadvgeoenv.com CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 o Phone(209)467-1006 a Fax(209)467-1118 Date: 2 Page I of <br /> 381 Thor Place,Brea,California 92821 a Phone(714)529-0200 a Fax(714)529-0203 <br /> ❑2315 Fourth Street,Santa Rosa,California 95404 a Phone(707)570-1418 a Fax(707)570-1461 Analysis Required <br /> 395 Del Monte Center,#1 l 1,Monterey,California 93940 a Phone(800)511-9300 a Fax(831)394-5979 <br /> ProjeMo <br /> me r Project Manager <br /> Client Sampler(initials&signature) <br /> WkTf <br /> 1 7 <br /> Invoice to: AGE ❑ Client <br /> Lab Project No.: <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> Relinquished by: Date: Time: Laboratory: <br /> 2- - D a E CIT-1 (r <br /> Couner Received by: 1 Date: Time: <br /> � � _mac <br /> Relinquished by: Date: Time: Received by: Dat <br /> Time: <br /> l <br /> Relinquished by: Date: Time: Received by: Date: !rime: <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hai days(standard) Cher; Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby a 'ze the performance of the above indicated work. <br /> Geotracker EDF to:❑ geotracker@advgeoenv.com 0 Global ID: <br />