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Advanced GeoEnvironmental, Inc. www.advlzeoenv.com CHAIN OF CUSTODY RECORD <br /> K8381 <br /> 37 Shaw Road,Stockton,California 95215 a Phone(209)467-1006 a Fax(209)467-1118 Date: I /� Page ofY <br /> Thor Place,Brea,California 92821 a Phone(714)529-0200 a Fax(714)529-0203 —� <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,#I11,Monterey,California 93940 a Phone(800)511-9300 • Fax(831)394-5979 <br /> Project No , Project Manager <br /> ;l! 6/AAP� <br /> Client _ Sampler(initials&signature) <br /> �5 MC <br /> Lab Project No.: �,) <br /> Invoice to: ,CrJ AGE El Client (" <br /> Sample ID/Location/Description Date Time Matrix Number Votes <br /> �a21— i 2b 3 1' o ul� S I I <br /> r �3 f: IZ <br /> Relinquished by' Date: Time: Laboratory: <br /> Wl'kti 3 <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date: Tim,: Received by: Date: Time: <br /> Relinquished by: Date: Time Received by Date: Time: <br /> /fi J <br /> �Qv <br /> I- LS_ 13 9 — <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hours days standard) Other: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the peitormance of the above indicated work. <br /> G tJ- u, k <br /> Geotracker EDF to: 11 gemracker(r advgeotim.com 0 Global ID: <br />