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Advanced GeoEnvironmental, Inc. www.adv¢eoenv.com CHAIN OF CUSTODY RECORD <br /> X837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 a Fax(209)467-1118 Date: 2 ! Page /of /- <br /> i�,.., 381 Thor Place,Brea,California 92821 a Phone(714)529-0200•Fax(714)529-0203 <br /> :; = ❑2318 Fourth Street,Santa Rosa,California 95404 •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 tx7 <br /> /VA — L—Prglw P 1 1 <br /> Client Sampler(initials&signature) <br /> le(InJ-1. - Rll�� W-C <br /> Invoice to: ,K AGE ❑Client Lab Project No,: ^ <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> Relinquished: Date: Time: Laboratory• <br /> /2 g /� d� ' erg <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 /> Nick NW\ '12-R- 1q a,W <br /> Requested Turn Around Time(circle): 24(tours 48 hours 72 hours jja (standard) Otter: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize tate performance of the above indicated work. <br /> Geotracker EDF to:0 gykt��,,-jQdvgeoenv.com 11 Global ID: <br />