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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD <br /> K837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 1. i Z o Date: ; �,�- �Spage 1 Of <br /> 381 Thor Place,Brea,California 92821 • Phone(714)529-0200• 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,#11 1,Monterey,California 93940 .Phone(800)511-9300 •Fax(831)394-5979 <br /> Project Name Project Manager <br /> Client Sampler(initials sign ture) <br /> Invoice to: AGE O Client <br /> Lab Project No.: <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> 1 -10av - z <br /> V J <br /> -)'0 <br /> p Vii <br /> V ' <br /> v6 <br /> -/0 i ` , <br /> Relinquished by: i Date: Time: Laboratory: <br /> No C— <br /> Courier: Received by: Date: Time: <br /> rC4 <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Time: <br /> h [Date: <br /> -1 ,2 10 <br /> 4 <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hours 5 days(standard} 0 r: Matrix Codes: 'A=Air W=Water S=Solid <br /> Special Instructions to lab: I herebyorize the pc ice of the above indicated work. <br /> r <br /> Geotracker EDF to: 0 geouacker@advgeoenv.com ❑ Global ID: <br />