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� fi• � � f, f, � f, si• f, f, � fi• f, f, f, f, f, � <br /> ® Advanced GeoEnvironmental, Inc. www.adveeoenv com CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 a Phone(209)467-1006 a Fax(209)467-1118 Date:3JL2—IY Page I Of 1 <br /> ❑381 Thor Place,Brea,California 92821 a Phone(714)529-0200 a Fax(714)529-0203 <br /> /��;:•. ❑ 2318 Fourth Street,Santa Rosa,California 95404 a Phone(707)570-1418 a Fax(707)570-1461 / Analysis Required <br /> 395 Del Monte Center,#111,Monterey,California 93940 a Phone(800)511-9300 a Fax(831)394-5979 <br /> Project N me Project Manager <br /> Client Sampler thalthats I Bigg a .\ <br /> nvofce to: AGE ❑ Client Lab Project No: V <br /> Sample ID/LocatinNDeserlpfion Date Time Matrix Number Notes <br /> V - o P' IX <br /> sva- vo ss Wr <br /> o A` <br /> 5 3- Vp 1 Ic jai D I <br /> _s r ow PrI <br /> 51M -ice I d I <br /> Relinquished by: Date: Time: laburalory: <br /> e�nvti o311v n1 �e T <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by I Date. Time: <br /> i 3 - -k,_ ro <br /> Requested Tum Around Time(circle 24 hour)48 hours 72 hours 5 days(standard) Other: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: a e pe ante of the above indicated work. <br /> 04%6 WNA �avrtpe� , e-n�u�r2bin � J�erii ian��lv�eoe�v, W)-, I hereby <br /> Geotracker EDF to:0 geotrackerQadvgeoenv.com 11 <br /> Global ID: <br />