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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD <br /> _ 1 /1-11837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-11 18 Date: —��i—1 I{ Page Of , <br /> ice,... 381 Thor Place,Brea,California 92821 • Phone(714)529-0200 o Fax(714)529-0203 ( ' Q <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 •Phone(800)511-9300 • Fax(831)394-5979 <br /> EJ <br /> Projec Name Project Manager <br /> Client Sampler(initials&signat e <br /> Lab Project No.: 1 <br /> 13 <br /> Invoice to: AGE ❑ Client L <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> tA IAL <br /> Vwy <br /> Relinquish by- Date: Time: Laboratory: <br /> Courier Received y: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: _j ') Date: Time: <br /> � J <br /> Requested Turn Around Time(circle) 24 hours 8 hours 72 hours 5 days(standard) 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 /> Geotracker EDF to:0 geotracker@advgeoenv.com ❑ <br /> Global ID: `� <br />