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Advanced Ge®Envitr®nmental, Ince www.advgeoenv.com CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 a Phone(209)467-1006 a Fax(209)447-1118 Date: j4-/ Page 3 of 3 <br /> _ ®381 Thor Place,Brea,California 92821 •Phone(714)529-0200 a Fax(714)529-0203 " t 2 Lf <br /> ®2318 Fourth Street,Santa Rosa,California 95404 a Phone(707)570-1418 a Fax(707)570-1461 Analysis Required <br /> ®395 Del Monte Center,#111,Monterey,California 93940 a Phone(800)511-9300 a Fax(831)394-5979 <br /> ProjectName Protect Ma a er <br /> Client Sampler(initials&sigaature) -' <br /> � <br /> Lab Project No.: <br /> ti <br /> nvoice to: AGE ❑ Client _ <br /> Sample ID/Locatlan/Description Date Time Matrix Number Notes � �' <br /> 52�- 2z is (2: x-22.. 'X <br /> Relinqujghe by: Date: Time: Laboratory: o- <br /> 22 <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: i 1 Date: Time: <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hours 5 d (standard) Other: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: v' I hereby authorize the performance of the above indicated work. <br /> e - <br /> LGeotracker EDF to:0 geotracker@adv 11 Global ID: <br />