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Advanced Geo]Environmental, Inc. www.advy,eoenv.com CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 o Phone(209)467-1006 o Fax(209)467-1118 O� -a o /- Date: � ' Page I of� <br /> 381 Thor Place,Brea,California 92821 o Phone(714)529-0200 o Fax(714)529-0203 �Q <br /> • ❑2318 Fourth Street,Santa Rosa,California 95404 o Phone(707)570-1418 o Fax(707)570-1461 Analysis Required <br /> ❑395 Del Monte Center,#111,Monterey,California 93940 o Phone(800)511-9300 o Fax(831)394-5979 <br /> ❑ t <br /> Project NameProjectManager <br /> Af Pat - rl�l [n,7'a', k. V <br /> Client Sampler(Initials na e) <br /> flea Lk <br /> Invoice to: AGE C3Client Lab Project No.: f' <br /> ..-- <br /> Sample ID/Location/Description Date Time Matrix Number Notes CiD <br /> 1f 1? 200 <br /> Relinquished by: t 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 Turn Around Time(circle): 24 hours 48 hours 72 5 days(standard) her: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: 1 hereby authorize the performance of the above indicated work. <br /> LGIMUker EDF geotracker@advgeoenv.com ❑ Global ID: <br />