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Advanced GeoEnvironmental, Inc. wnvw.adv2eoenv.com CHAYN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 Date: I_1 ,— Page 3 of t <br /> 381 Thor Place,Brea,California 92821 •Phone(714)529-0200 • Fax(714)529-0203 ff <br /> ' ,-�J�V <br /> :: ! ='•• � 2318 Fourth Street,Santa Rosa,California 95404 • Phone(707)570-1418 • Fax(707)570-1461 AU81ySIS ReC]U1CCC1 <br /> 395 Del Monte Center,#111,Monterey,California 93940 • Phone(800)511-9300 •Fax(831)394-5979 /I ^ <br /> Project Name .� Pro' ct anager <br /> Client Sampler(initials&signature) <br /> �J S <br /> Lab Project No.: 't <br /> Invoice to: AGE ❑ Client <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> � - 1(r t® <br /> G�_ i) HTO <br /> — <br /> 5-Zc� q'; ' X A° <br /> 1435 X X <br /> Relinquished by: Date: Time: Laboratory: <br /> Cou11 rier: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: n Date: Time: <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hour,( <br /> ou 5 days(standard) Cher: (/ 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 /> Geottacker EDF to: ❑ geoiracker@advgeoenv.com ❑ <br />