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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD- <br /> 8 <br /> L37 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 •Fax(209)467-1118 l2-Qs V Date: /1!± Pa e `T of5 <br /> g _ <br /> 381 Thor Place,Brea,California 92821 •Phone(714)529-0200•Fax(714)529-0203 <br /> ='' ❑2318 Fourth Street,Santa Rosa,California 95404 o 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 /> Project Name��� l� t � Project Manager <br /> 13 Lt <br /> Client Sampler(initials&signature) <br /> p Q <br /> Invoice to: AGE ❑ Client Lab Project No.: t,✓+ �/ <br /> c <br /> Sample ID/Location/Description Date Time Matrix Number Notes � nV <br /> A-1�i fo,- <br /> -6iif 3:.?o W u x X k <br /> nj-7-5 i2 � iq q:eti S <br /> 9'l5 S I <br /> Af)l ice 9r1� S l <br /> .-> <br /> Relinquished y Date: Time: Laboratory: <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-Cl- 14 C1 l we, <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hours da tandard) Other: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: l hereby authorize the performance of the above indicated work. <br /> Global(D: <br /> Geotracker EDF to:0 geotrac dv nv.com 0 <br />