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Advanced GeoEnvir®nmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD <br /> L�rgV Shaw Road,Stockton,California 95215 •Phone(209)467-1006 •Fax(209)467-1118 Date: �2' 6 Page / Of <br /> ...ti ®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 I <br /> { ) ( ) Analysis Required <br /> ®395 Del Monte Center,0111,Monterey,California 93940 •Phone(800)511-9300 •Fax(831)394-5979 tom, <br /> D ^ ~1 <br /> Project N � � � � Z Protect Manager <br /> Client Sampler(initials&signature) �— <br /> Invoice to: AGE ❑Client <br /> Lab Project No.: ( _� <br /> 4 � <br /> Sample ID/Location/Description Date Time Matrix Number Notes {. <br /> Q• 2,? / 3' 52- '; ! O j iC—' Z h a* 1 <br /> 53 3 : tP • r <br /> cS J <br /> :9: 2. D n <br /> g ?�5� h •11 K ?t <br /> 1 y(4-7 14 ,' 4tr <br /> `51v 1:39 U h # G o K <br /> Relinquidud b �- Date Time: Laboratory: ,� <br /> U 1 � 0 <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: �% Date: Time:IQ ' <br /> `_ '14 I . <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hours a (standard) Other Matrix Codes: A=Air W=water S=Solid <br /> Special Instructions to lab: I hereby authorize <br /> erebb authorize the performance of the above indicated work. <br /> t/lJ C�J <br /> Geotracker EDF to:❑ geotra v.com ❑ Global ID: <br />