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Advanced GeoEnvironmental, Inc. wwvv.advgeoenv.com CHAIN OF CUSTODY 13_,ECQRD <br />El 837 Shaw Road, Stockton, California 95215 • Phone (209) 467-1006 • Fax (209) 467-1118 Date: 6 7 - / Page / of! El 0 381 Thor Place, Brea, California 92821 • Phone (714) 529-0200 • Fax (714) 529-0203 51-1 t ki <br />5p_ <br />.. <br />.. 2318 Fourth Street, Santa Rosa, California 95404 • Phone (707) 570-1418 • Fax (707) 570-1461 Analysis Required <br />Fl <br /> 395 Del Monte Center, #111, Monterey, California 93940 • Phone (800) 511-9300 • Fax (831) 394-5979 <br />-..z,.....„.. <br /> <br />iProject Name , - <br /> <br />Project Manager l? <br />i <br />.- I <br />Sampler (initials & signature) <br />0 + 1 <br />—.......4 ...a...„ <br />'Invoice to: 0 AGE 0 Client Lab Project No.: <br />Sample ID/Location/Description Date <br />o i <br />Time Matrix Number Notes <br />r,,, fs........-4...--- 4 <br />1 Iii-/ '2- ., ,, , , , k-f. . . icoft---ts.= is— 15 lto -z- <br />1342_ <br />tti-) — <br />.4)— WA Le ,.— <br />\ <br />1.1:11) 2- <br />I <br />i/ <br />X <br />_ <br />IP? ‘51) ‘71 vA y <br />" r%) <br />1 <br />, <br />" i Relinquished by: '---t------ Date: 0 /6, <br />Time: Laboratory: <br /> /7 _.( /....., - <br />Courier: 's <br />6/0 M.Ar6_ <br />Received by: Date: Time: <br />Relinquished by: Date: Time: Received by: Date: Time: <br />Relinquished by: Date: Time: Received by: 71'2 Date: <br />.-67./4 S-- - i '7 -- <br />Time: <br />Requested Turn Around Time (circle): 24 hours 48 hours 72 hours 5 days (standard) Other: Matrix Codes: A = Air W = Water S = Solid <br />Special Instructions to lab: I hereby tze he performance of the above ind.4ted work. <br />i <br />„ <br />1 t-rtt.„ <br />/ <br />Geotracker EDF to: Cl geotracker @advgeoenv.com D Global ID: