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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 Date: �'"I I , I I Page Of6y <br /> 381 Thor Place,Brea,California 92821 • Phone(714)529-0200• Fax(714)529-0203 \ _ J e(. <br /> ❑ 2318 Fourth Street,Santa Rosa,California 95404 o Phone(707)570-1418 • Fax(707)570-1461 h Analysis Required <br /> ❑ 395 Del Monte Center,#111,Monterey,California 93940 • Phone(800)511-9300 •Fax(831)394-5979 <br /> Project Name / Pr 'ect anager <br /> Client Sampler(initials&in nature) <br /> �DDIV 1 <br /> Lab Project No.: <br /> Invoice to: ! AGE ❑ Client <br /> ;SamplelD/Location/Description Date j Time Matrix Number Notes �.._ <br /> 0830 <br /> X1 - 15 035 <br /> 13 ; - Zo a5-0 y ZS O IO <br /> 115- <br /> 0 `A <br /> (loo <br /> loQ <br /> TZ -- IS- 1)i�- <br /> RelinFuis} v: Date: Time: Laboratory: <br /> � l ��ll - 11 CSL <br /> Courier: Received by: Dale: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> IC, a- <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hour 5 days(standard) dter: U Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> Global ID: <br /> Geotracker EDF tolgeotracker@advgeoenv.com 0 <br />