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Advanced GeoEnvir®IImental,Inc. www.adv¢eoenv.com. CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 ®Phone(209)467-1006 o Fax(209)467-1118 ' t s, r` -^, <br /> 2_ Date: �- , t - <';' Paged of <br /> ®381 Thor Place,Brea,California 92821 o Phone(714)529.0200 o Fax(714)529-0203 C 3 <br /> .;,... <br /> ®2318 Fourth Street,Santa Rosa,California 95404 o Phone(707) *Fax(707)570.1461 A21S1SI3 R (tlit'Cd <br /> ®395 Dei Monte Center,#111,.Motiterey,Califomia 93940 o Phone(800)51179300 o Fax(831)394-5979 <br /> Project Watt Project Maaager <br /> Cillent Sampler(inifiels&signature) <br /> w <br /> Invoice to C3AGE ❑Client Lab Project No.: <br /> Sample ID/Locationmescription Date Time Matrix Number Notes <br /> 5. <br /> 1 2 0.(A <br /> f�-r33 �-? 0 1 Vii;2.5' us 3 <br /> Z <br /> Relingoisbcd by: Arte Time: iabotalory <br /> ff •'t- <br /> Courier: ReerWed by: Date: Time: <br /> Relinquished by date: Time: Date: Time <br /> Received by <br /> Relinquished by: Date: Timet Received by: Date: Time: <br /> Requested TurnAiouod Time(circle): 24 hours 48 hours 72.hours 3days(§tend®rd) Otlier: Matrix Codes: A-Air W 4 Water 5 So1id <br /> SpeciAl iitstructionsto lab: I hercby authorize the perfotiilance of the above irtdicated work <br /> Geotracker EDF to:O geotmcke '` v.cflm ElGlobal ID: <br />