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Advanced GeoEnvironmental, Inc. www.advgeoenv.com <br />CHAIN OF CUSTODY RECORD <br />837 Shaw Road, Stockton, California 95215 • Phone (209) 467-1006 • Fax (209) 467-1118 nn <br />V 5 Q <br />Date: — -/q Page of <br />381 Thor Place, Brea, California 92821 • Phone (714) 529-0200 • Fax (714) 529-0203 <br />❑ 2318 Fourth Street, Santa Rosa California 95404 N, Phone (707) 570-1418 •Fax (707) 570-1461 <br />Analysis Required <br />❑ 395 Del Monte Center, #111, Monterey, California 93940 • Phone (800) 511-9300 • Fax (831) 394-5979 <br />Project Name <br />T <br />Projectna <br />v <br />,& <br />Client <br />Sampler (initials & signature) <br />IkL <br />Invoice to: AGE <br />11Client Lab Project No.: <br />Sample ID/Locatton/Description Date Time Matra [Number Notes <br />70 <br />MENEM <br />�m <br />o <br />Relinquish <br />' <br />Date: <br />Time: <br />Laboratory: I <br />Courier: <br />Received b : <br />Date: <br />Time: <br />Relinq•uished by: <br />Date: <br />Time: <br />Received by: <br />Date: <br />Time: <br />Relinquished by: <br />Date: <br />Time: <br />Received by: <br />Date: <br />Time: <br />�r <br />Requested Tum Around Time (circle . 24 hours 4 hours 72 hours 5 days (standard) Other:_ _ <br />Matrix Codes: A = Air W = Water S = Solid <br />Special Instructions to lab: <br />1 hereby authorize the performance of the above indicated work. <br />Global ID: <br />'otracker EDF to: 0 geotracker@advgeoenv.com ❑ <br />