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Advanced Geo Environmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD <br /> ,Z837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 Date: i f-113 Page of <br /> ❑ 381 Thor Place,Brea,California 92821 • Phone(714)529-0200 • Fax(714)529-0203 L —` <br /> ' - ❑ 2318 Fourth Street,Santa Rosa,California 95404 • Phone(707)570-1418 • Fax(707)570-1461 Analysis Required <br /> ® <br /> F-1395 Del Monte Center,#111,Monterey,California 93940 • Phone(800)511-9300 •Fax(831)394-5979 <br /> Project Na Projec Manager <br /> ' <br /> Toes - 1 �O� � , /l Gid <br /> Client _ Sampler(initials&signature) <br /> h <br /> Invoice to: fd'AGF ❑ Lab Project No.: <br /> Client 1pp1 <br /> Sample ID/Location/Description Date Time Matrix Number Notes l` <br /> 134 l /-37 2. 115- r JK <br /> — <br /> 17333 ;� <br /> Relinquished by: DateTime: laboratory: <br /> 112 Cs.ts T C( {=Nu <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Dale: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: n _ / Date: Time: <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hours days andmd) 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 /> Nv e>7 (�k- <br /> Geotmcker EDF to:13 geonacker(dadvgecenv.com ❑ Global ID: <br />