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Advanced GeoEnvironmental, Inc. www.advgeoenv.com tt77 CHAIN OF CUSTODY RECORD- <br /> rk837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 • Fax(209)467-1118 JZ— Date; 2 �� Page Of <br /> 25 <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,Califomia 93940 •Phone(800)511-9300 e Fax(831)394-5979 <br /> El <br /> Project Name Project Manager <br /> �N�� LA-�'��t� 3�i1�i• � 2 �, <br /> tf <br /> Cheat S� Sampler(initials&signature) <br /> Invoice to: AGE ❑ Client Lab Project No.: <br /> Sample ID/LocationtDescription Date Time Matrix Number Notes <br /> I*2 5 <br /> 3 Lv <br /> A13iq - )0 <br /> Relinquished — Date:2 ` Time: Laboratory: <br /> �, <br /> 1 `l <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 Ph un 12-9-1y <br /> Requested Tum Around Time(circle): 24 hours 48-hours 72 hours da standard) Other: Matrix Codes: A=Air W=Watcr S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> Geotracker EDF to:13 geotk geoenv.com 0 Global ID: <br />