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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD- <br /> �g837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 •Fax(209)467-1118O r 3 ! <br /> 2' s$ Date: ?2/ � l� Page,of _ <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 /> 395 Del Monte Center,#111,Monterey,California 93940 •Phone(800)511-9300 •Fax(831)394-5979 <br /> El 1 14 <br /> Project Name Project Manager C� <br /> I'-14 <br /> Client �J 1 Sampler(initials&signature) iA I <br /> Ile I <br /> Lab Project No.: v <br /> Invoice to: AGE ❑ Client �., <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> X <br /> Jv / <br /> x x x <br /> Relinquished by: Date: Time: Laboratory: _ <br /> L 12 i`-t< J7�' �Y lei` �JlP-i,> <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Nick Pku 12-9 - Iu I g430q <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hou (standard) Other: Matrix Codes: A=Air W-Water S-Solid <br /> Special Instructions to tab: t hereby <br /> authorize the performance of the above indicated work. <br /> Geotracker EDF to:0 geo/d4Jc @+geoenv.com 0 Global ID: <br />