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X837 <br /> Advanced GeoEnvironmental, Inc. www.advgeQenv.com CHAIN OF`lCUSTODY RECORD <br /> Shaw Road,Stockton,California 95215 o Phone(209)467-1006 •Fax(209)467-1118 11.'OL � Date:(2- `�'/ Page 1,of-E-1 381 Thor Place,Brea,California 92821 a Phone(714)529-0200 a Fax(714)529-0203 <br /> %',•���� ®2318 Fourth Street,Santa Rosa,California 95404 o Phone(707)570-1418 o Fax(707)570-1461 Analysis Required <br /> ❑395 Del Monte Center,#111,Monterey,California 93940 o Phone(800)511-9300 o Fax(831)394-5979 <br /> Project Name i) �' Project Manager <br /> A cet <br /> Client Sampler(initials&signature) <br /> %VrU_1 - 1 9 <br /> Invoice to: 1V-AGE ® Client Lab Project No.: r . <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> P2,0 <br /> - 25 <br /> .L5' 21 ciO S <br /> ,- ;7 2 : ( vi 3 <br /> RelinquisWed b . Date: Time: laboratory: <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Receivedal'ok <br /> Dat . Time: <br /> Pb un 12-!�-1q 9;20q <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hours days dard) tither. Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> Global ID: <br /> Geov8 <br /> acker EDF to:® eotracke corn O <br />