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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD <br />IZ 837 Shaw Road, Stockton, California 95215 • Phone (209) 467-1006 • Fax (209) 467-1118 Date: Z Page ) of ( <br />381 Thor Place, Brea, ° — 1 29 California 92821 • 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 • Phone (800) 511-9300 • Fax (831) 394-5979 <br />-V\ <br />Project Nvie <br />14.)arrlo.-0, faci -1-- riAe( Project Manager g i Li i i 1-171-4Fie_ .i.. <br />-7---171 <br />'. ' <br />Client Sampler (lnitia signature) <br /> <br />-....., <br />.—.. <br />Invoice to: *AGE 0 Client Lab Project No.: <br />Sample ID/Location/Description Date Time Matrix Number Notes -41s1 Wt. P <br />F-0 - I / tdt-s--- FePerti3 I i-i3o 14-) 2- Xi( <br />E.02 /Ale i--- <br />, <br />14132 -7-- - 17:10... Li . <br />' <br />14- - r -r- -A - s • " iLD <br />1 <br />z- <br />L. <br />V I s.i -D b <br />, <br />/ .. <br />Ma J"----' Relinquished by: D.,a -. 3 Tiir,30 Laboratory 0 <br />63 <br />Courier: Received by: Date: Time: <br />Relinquished by: Date: Time: Received by: Date: Time: <br />Relinquished by: Date: <br />c- -- - . <br />Time: Received by: I Date: Time: <br />- 17X...---e---... . <br />Requested Turn Around Time (circle): 24 hours 48 hours 72 hours days (stay.....9ar6ther: Matrix Codes: A = Air W = Water S = Solid <br /> — <br />Special Instructions to lab: thereby rize the performance of the a indicated work. <br />i" <br />Geotracker EDF to: 0 geotracker@advgeoenv.com 0 Global ID: