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Advanced GeoEnviron mental, Inc. vhwv adx_eoens,com CHAIN OF CUSTODY RECORD <br /> 837 Shaw RoadUtz ,Stockton,CaIifoinia 95215 •Phonc '09146,-1000 s Fax 209)467-1118 1 � t. <br /> -.--_ <br /> ❑381 Thor Place, Brei,California 92821 • Phone(714)529-0210 0 Fax(1141529-0203 -, -- <br /> 2318 Fourth Street,Strata Rosa.California 95404 • Phone(70 )5170-1415 e Fax(/07)570-1461 AIIdIySIS R£t(UlC£d <br /> F-13,95. Del Monte Center,411 I.Monterey,Calilornia 93940 • Phone(800)51 19300 a Fax(831)394-5971) <br /> Project Name a Project Manager <br /> Client Sampler(initials&signatzPi'e)'� <br /> Lab Project No.: ✓ <br /> Invoice to: AGE 13 Client �. .. <br /> Sample[D/Location/Description Date Time h9atrix Number dotes <br /> v " r 1 .L <br /> 1 <br /> 1 <br /> i <br /> Relinquished by: of Date: ) tl Time, Lahorato-%: <br /> J <br /> Courier: Rc r,✓ed by: <br /> i)an:: t role <br /> Relinquished by. Date: Time: Receii�e Date: Tune <br /> l/ <br /> Relinquished by: Date: Timc: Received by: _ Dace: 7 ime- <br /> Requested Turn Around Time(circle): 24 howl 48 hours hours 5 dais 1 ntjaccil Other: <br /> 1latnx E odes: ,1 ... -1ir 4k'_:Vddter ti ::ti;,lid <br /> Special Instructions to lab: I h;�rebv authori7.e 11e ucrionnance oFthe above indi.atc-d�wrk. <br /> Geotracker EDF to: eotracker�i,advgeoena.com ❑ Global ID: r <br /> CCLj !( <br />