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Advanced GeoEnvironmental, Inc. www.advecoenv.com CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton, California 95215 • Phone(209)467-1006 • Fax(209)467-1118 Date: 'j I I I ._ I Page -Z-of� <br /> 381 Thor Place,Brea,California 92821 •Phone(714)529-0200 • Fax(714)529-0203 ; \ —\o <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 c Phone(800)511-9300 • Fax(831)394-5979 <br /> El <br /> O <br /> Proect Name1((',, Prtojre(�t Ianager Vq�p <br /> Client % Sampler initials&si nature) <br /> JhJJ U <br /> t <br /> Lab Project No.: <br /> Invoice to: � AGE ❑ Client n V <br /> V � <br /> Sample ID/Location/Description Date Time Matrix Number Notes "- <br /> _ 5- 1Z 6 <br /> 113 VZ <br /> T;�A <br /> Relin y: 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: p Date: Time: <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hou 5 days(standard) P Cher: v 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 to: 11geotracker@advgeoenv.com ❑ <br />