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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD <br /> 1�1'837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 112! 113 <br /> Date: Page I of <br /> i�.• ❑ 381 Thor Place,Brea,California 92821 • Phone(714)529-0260• 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 is Phone(800)511-9300 Fax(831)394-5979 <br /> Project Names , r Project Mang <br /> CJt-�. s ,V/ <br /> Client Sampler(initials&signature) <br /> -C <br /> Invoice to: kr-AGE ❑ Client Lab Project No.: Z (f <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> R242 q,.p�, <br /> V 0- I <br /> 9.RLI <br /> In ! <br /> ,1 <br /> -W %40,27 r <br /> qV <br /> Relinquished by: ,� Date: Time: laboratory: <br /> ��?sf�l <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: —� Date: Time: <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hour, 5 days!standard) Other Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> Aft) e )a� 1 <br /> Geotracker EDF to:❑ geotracker(wiadvgeocnv.com 0 Glohal ID'. <br />