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Advanced GeoEnvironmentat, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD <br /> 13837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 at Fax(209)467-11 I8 -(L' % <br /> Date: �_I�" ! Page_of <br /> .• ❑381 Thor Place,Brea,California 92821 a Phone(714)529-0200•Fax(714)529-0203 <br /> S ❑2318 Fourth Street,Santa Rosa,Califomia 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 a Fax(831)394-5979 <br /> Project Name �(- i Project Manager <br /> Client �Vs s) l' 1 (I lit <br /> \ Sampler(Initials&signature) <br /> t I Cil s :- - �rJvtiAav u�L- <br /> Leb Project Na.: 1 <br /> Invoice to: AGE ❑ Client ft, <br /> {J^\ <br /> Sample ID/Location/Description Date Time Matrix Number Notes n" LO <br /> f` I� <br /> Urr�'2 I slot <br /> X <br /> O .- <br /> 20, <br /> U i <br /> ` Relinquished by: a � Date: Time: laboratory: _ <br /> Courier: <br /> 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 hours days standard) Other: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: 1 hereby authorize the performance of the above indicated work. <br /> Geottacker 16;/❑ gmtrackern.advgcmnv.com 0 Global ID: <br />