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i♦ i♦ i♦ i♦ � � i♦ i♦ i♦ i♦ i♦ i♦ i♦ f♦ � i♦ i♦ i♦ � <br /> Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 1 O Date: 7Page t ofd <br /> .,:,.� ❑381 Thor Place,Brea,California 92821 •Phone(714)529-0200•Fax(714)529-0203 O <br /> -..�.-. ;.. ❑2318 Fourth Street,Santa Rosa,California 95404 + Phone(707)570-1418 o Fax(707)570-1461 Analysis Required <br /> 395 Del Monte Center,01 1 1,Monterey,California 93940 • Phone(800)511-9300 • Fax(831)394-5979 <br /> Project Name Project Manager <br /> Client Sampler itla s&signature) <br /> Invoice to: AGE ❑ Client Lab Project No.: <br /> Sample IID//Location/Description Date Time Matrix Number Notes <br /> 9-7- L.,it I <br /> Relinquished by: Date: 17 ITime: Laboratory: <br /> Courier: A <br /> 4 �y, Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> l10 'L- -1 'A <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hoursA<days(standard)Per: Matrix Codes: A=Air W=Water S—Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> � <br /> Geotracker EDF to:Elgeotracker(aiadvgeoenv.corn ❑ Global iD: <br />