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Advanced GeoEIIvirOIImeIIta4 Inca www.advgeoenv.com CHAIN OF CUSTODY RECORD - <br /> e <br /> 837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 •Fax(209)467-1118 Date: 6-3—145 Page Of <br /> 381 Thor Place,Brea,California 92821 •Phone(714)529-0200•Fax(714)529-0203 OG <br /> ;,•,;.. ❑2318 Fourth Street,Santa Rosa,California 95404 a Phone(707)570-1418 a Fax(707)570-1461 Analysis Required <br /> 395 Del Monte Center,#111,Monterey,California 93940 •Phone(800)511-9300 •Fax(831)394-5979 <br /> ❑ - <br /> Project Name _ Project er <br /> -.,.. <br /> Client <br /> Sampler(initials&signature) <br /> VL — <br /> Invoice to: AGE ❑ Client Lab Project No. . <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> ,4 _z ss 3. 575_L( _5 tC ; I <br /> �- <br /> '. ( SS tit i-15 55-t� -3_t to�i�q L( LN <br /> -t`1 S�'!� -I�'i 2i✓ �,-i-tS tli2j ice.. <br /> Relinquished Dat Time: Laboratory: <br /> Courier / Received by: Date: Timd: <br /> Relinquished by: Date. Time: Received by Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> C— <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72hour 5 days(standard) Other: Matrix Codes: A=Air W a Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> LGeo:tm�cker EDF to:❑ eotmck nv com ❑ Global ID: <br /> S etQadv!� <br />