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Advanced GeoEnvironmental, Inc, www,advgeQ ay.corn CHAIN OF CUSTODYRECORD <br /> EL837 Shaw Road,Stockton,California 95215 a Phone(209)467-1006 o Fax(209)467-1118 0 LADate: 22 115 Page 5 of <br /> ®381 Thor Place,Brea,California 92821 o Phone(714)529-0200 o Fax(714)529-0203 <br /> ':•��• ®2318 Fourth Street,Santa Rosa,California 95404 o Phone(707)570-1418 o Fax(707)570-1461 AIl$ySiS R@qIIICCd <br /> 395 Del Monte Center,#111,Monterey,California 93940 o Phone(800)511-9300 •Fax(831)394-5979 <br /> ® V Q <br /> Projcgt Nunn Project Manager <br /> D 022 ) <br /> Client Sampler(initials&signature) _ <br /> Invoice to: AGE ❑ Client Lab Project No,: 1 �� � •,N <br /> Sample ID/Location/Description Date Time Matrix Number Notes }• � <br /> T-?,L 2► IS 1:55 5 2?-- <br /> I <br /> t L45 S <br /> Relinquished by Date: Time: Laboratory: <br /> 4�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 /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hou5 da (standard) Other: Matrix Codes: A=Air W=Water S=Soled <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> Geotracker EQF <br /> Global ID: <br /> D:❑ geotrac v v.com ❑ <br />