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Advanced GeoEnvironmental, Inc. <br />Stockton, California 95215 • Phone (209) 467-1006 <br />Brea, California 92821 • Phone (714) 529-0200 <br />Street, Santa Rosa, California 95404 • Phone (707) <br />Center, #111, Monterey, California 93940 • Phone <br />w-ww.advaeoenv.com CHAIN <br />Date: <br />2 7- <br />OF CUSTODY RECORD <br />Page ( off Fax (209) 467-1118 <br />Fax (714) 529-0203 9,-1 <br />570-1418 • Fax (707) 570-1461 <br />(800) 511-9300 • Fax (831) 394-5979 <br />2 837 Shaw Road, <br />381 Thor Place, <br />Analysis Required 2318 Fourth <br />395 Del Monte <br />is' <br />\ <br />'. H <br />-7- <br />-..... <br />...... <br />-..... <br />.. Project Name , <br />t Li (6-t-; ciao 'lc-0-e i ri_te, t <br />Project Managut, i t i Li H-le <br />Client Sampler (in tials & signature) <br />Invoice to:AGE 0 Client y. Lab Project No.: <br />Sample ID/Location/Description Date Time Matrix Number Not <br />itO - I Aide r- q 2. 3 /6)-3S? 1,0 3 A---.A-- )r-K <br />/oLti 3 ; -2A :2-L-.-4-- <br />1 0 ii q 3 <br />A- r--7---A- s Ay,--:-re:— <br />1 <br />/0 2-5 2- <br />E <br />- <br />Relinquish by: ed <br />IL'(6-(7L-7--; <br />Date: / <br />q/Z q 3 <br />Time: <br />/11 5 <br />-t ' <br />Laboratot. <br />; 0 -76;;7L <br />Courier: Received by: Date: Time <br />Relinquished by: Date: Time: Received by: Date: Time: <br />Relinquished by: Date: Time: Received by: V...._.-) Date: Time: <br />Requested Turn Around Time (circle): 24 hours 48 hours 72 hours 5 days (standard) Other: <br />/ <br />Matrix Codes: A = Air W = Water S - Solid <br />Special Instructions to lab: I hereby auth-C)i -ize the performance of the above indicated work. <br />/ <br />_ <br />. I' '' <br />L-LeH <br />, . <br />/ &., <br />/ Geotracker EDF to: 0 geotracker@advgeoenv.com 0 Global ID: