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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 '��� 2 Date:12 —ZI age of3 <br /> �,.., 'g381 Thor Place,Brea,California 92821 • Phone(714)529-0200• Fax(714)529-0203 7 <br /> ",. ❑ 2318 Fourth Street,Santa Rosa,California 95404 • Phone(707)570-1418 •Fax(707)570-1461 Analysis Required <br /> ❑ 395 Del Monte Center,#111,Monterey,California 93940 • Phone(800)511-9300 Fax(831)394-5979 <br /> Project N ALA — CAiL-DProject Manager <br /> Q <br /> Client /w Sampler(initials&signature) { <br /> RQ r, )�- lgrrsL� 1 <br /> Invoice to: GE ❑ Client Lab Project No.: z f <br /> Sample 1D/Location/Description Date Time Matrix Number Notes <br /> t - � 2q A o s X <br /> X <br /> i -2v ` 55 S K <br /> 4, Za <br /> 32 - 20 ID:DS 5 <br /> Air <br /> 2- H7l 0 10: 3o W <br /> Ag <br /> X- <br /> 3 <br /> Relinquisbel V: - Date: Time: Laboratory: <br /> Courier: 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(cimte): 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 /> Geotracker EDF to:11 geo a eoenv.com 0 <br /> Global ID: <br />