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Advanced GeoEnvironmental, Inc. www.advizeoenv.com CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 a Fax(209)467-1118 Date: `l,- — Page I Of—I <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 •Fax(707)570-1461 Analysis Required <br /> F-1395 Del Monte Center,#111,Monterey,California 93940 •Phone(800)511-9300 •Fax(831)394-5979 <br /> ProjcciName r Project Manager �' <br /> '( ari <br /> Client Sampler(initials&signature) <br /> Invoice to: AGE F-1 Client <br /> Lab Project No.: <br /> Sample ID/Location/Deseription Date Time Matrix Number Notes <br /> .012S X <br /> Relinquished by: Date: Time: Laboratory: <br /> 2- - Dd <br /> Courier: f .. a Received by: 1 �(JDate: Time: <br /> Ott 1 1 / 4 Citr L?til <br /> Relinquished by: Date: Time: Received by: Date/ Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 ho days(standard) her Matrix Codes: A=Air W=Water S e Solid <br /> Special Instructions to lab: l hereby a the performance of the above indicated work. <br /> Geotracker EDF to:0 geotracker@advgecenv.com 11 <br /> Global ID: <br />