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Advanced GeoEnvironmental, Inc. www.advpeoenv.com CHAIN OF CUSTODY RECORD <br /> (CJ °J7 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 •Fax(209)467-1118 Date: /Q Page—L Of—L <br /> ❑381 Thor Place,Brea,California 92821 a Phone(714)529-0200•Fax(714)529-0203 � <br /> ❑ <br /> 2318 Fourth Street,Santa Rosa,California 95404 • Phone(707)570-1 t..418 Fax(707)570-1461 Analysis Required <br /> ❑ 395 Del Monte Center,#111,Monterey,California 93940 •Phone(800)511-9300 •Fax(831)394-5979 <br /> Project Name/ Project Manager <br /> Client �^ Sampler(initis &Signature) <br /> 0 ,J kA <br /> Invoice to: KACE ❑ Client Lab Project No.: <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> z2 <br /> f � <br /> Relinquished by (-) Date: Time: Laboratory: <br /> o GO v <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hour 5 days(standard) Ot er: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: 1 herob an" rize the performance <br /> offtthe above indicated work. <br /> Geotmeker EDF to:❑ gmtracker/advgeoenv.com ❑ Global ID: V \. <br />