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Advanced GeoEnvi ronmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD <br /> 837 Show Road,Stockton,California 95215 a Phone(209)467-1006 a Fax(209)467-1118 0� �+ Date: 2Z)1 Jr' Page Z—of 3 <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 s Fax(707)570-1461 Analysis Required <br /> i <br /> 395 Del Monte Center,#111,Monterey,California 93940 is Phone(800)511-9300 s Fax(831)394-5979 <br /> — 3— <br /> Project N s Project Manager <br /> Pak 3Qj #j2 3 <br /> Client Sampler(ipitlals&signature} ^� •y <br /> Invoice to: 11AGE ❑ Client Lab Project No.: <br /> -z) <br /> Sample ID/Location/Descriptioo Date Time Matrix Plumber Notes J. <br /> S11 21 15' 1: 31 ff itc.G� <br /> S I�. 1:29 �` y� 4M2- <br /> e5 Jq I: q h +r %*t&/ <br /> 12:P1 <br /> �2fl 12:12 h n X 20 114 K. <br /> S2! l2: p47 11 <br /> Refrnq ' by: Date: Time: L ,aboratory: <br /> ¢�Z2 IS 17�t3� �rz ( t�e� fiJ t- <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 hours = <br /> andard) Other: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: i I hereby authorize the performance of the above indicated work. <br /> Global ID: <br /> eotracker EDF to:0 geotracke v.com ❑ <br />