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Advanced GeoEnvironnlental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD <br /> X837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 •Fax(209)467-1118 (Z—O Li3 Date:�Z I qll Page 2- 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,#111,Monterey,California 93940 •Phone(800)511-9300 • Fax(831)394-5979 <br /> Project Name [> <br /> Project Manager <br /> POA "jn4 <br /> Client Sampler(initials&signature) <br /> vY" —� C <br /> Lab Project No.: <br /> Invoice to: '�GE C3 Client ^n <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> s- = 25 !. <br /> b -t5 2I cro S / <br /> ;V 2 ' 1 t9- VJ 9 <br /> Relinquisped b : ate: J Time: laboratory:_ T° - <br /> �r L I{ l Received/bytes:: '.t/ Date: Time: <br /> Courier. <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received b : Date: Time: <br /> de N119 z-s-ia 9; 2oq <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hours days derd) Other. Matrix Codes: A=Air W=Water S=Solid <br /> 1 hereby authorize the performance of the above indicated work. <br /> Special Instructions to lab: <br /> Global ID: <br /> Geottacker EDF to:0 geotracke d .com 0 <br />