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Advanced GeOEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 •Fax(209)467-1118 1 ,O i; S Date: 12-14.111 age L._of� <br /> 381 Thor Place,Brea,California 92821 +Phone(714)529-0200 e Fax(714)529-0203 L "1 <br /> _ ",• ®2318 Fourth Street,Santa Rosa,California 95404 a Phone(707)570-1418 •Fax(707)570-1461 Analysis Required <br /> ®395 Del Monte Center,#111,Monterey,California 93940 a Phone(800)511-9300 •Fax(831)394-5979 <br /> Project Name Project Manager Q <br /> FAtA L4-f fp i It t l <br /> Client Sampler(initials&signature) <br /> ° n )�- Gru�,.si`a <br /> Invoice to: GE 13Z <br /> Client Lab Project No.: t <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> !- 35 < x <br /> t- ki a ` Z VV ?� <br /> - 20 <br /> 0.,D!3' S r <br /> A152- 142,.c) 10:3o W <br /> 3 _ to 10-.-&-T S l <br /> a 11 to S t <br /> Relinquisbe Date: p Time: Laboratory: <br /> I �1 { Q v 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 hours days(standard) Other: Matrix Codes: A-Air W Water S Solid <br /> Special instructions to lab: 1 hereby authorize the performance of the above indicated work. <br /> Geotracker EDF to:13 gela eoenv.com 0 Global ID: <br />