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Advanced GeoEnvironmental, Inc. www.advgeuenv.com CHAIN OF CUSTODY RECORD <br /> [15837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 Date: ,. Page of <br /> i..y ❑ 381 Thor Place,Brea,California 92821 •Phone(714)529-0200• Fax(714)529-0203 <br /> ❑2318 Fourth Street,Santa Rosa,California95404 • Phone 707 570-1418 • Fax 707 570.1461 <br /> ( > ( ) Analysis Required <br /> ❑ 395 Del Monte Center,#1 1 1,Monterey,California 93940 • Phone(800)511-9300 • Fax(831)394-5979 <br /> Project Name Project Manager I. <br /> •�L�S d n uSr n � � i �� Gd�"� rZ <br /> Client J Sampler(initials&signature) <br /> k ^S- ib'�- - we �' a <br /> Lab Project No.: <br /> Invoice to: 1:1 AGE ❑ Client <br /> Sample ID/Location/Description Date Time Matrix Number Notes '-11 <br /> �• � 7 t >/l� � ' ''� gni �� .x k <br /> Relinquished : Date. Time: Laboratory: <br /> Courier: Received by: /'�, Date: Time: <br /> � 1 <br /> �i ) � �S rl <br /> Relinquished by: Date: Time: Received by: \ Date: Time: <br /> Relinquished by: Date: Time: Received by: J Date: Time: <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hours days mndard) Other: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work <br /> Oeotmeker EDF to:0 gwmc( a ady9*nv.com 0 <br /> Global ID: <br />