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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN fOF CUSTODY RECORD ' <br /> 837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118DatPage Of <br /> . 381 Thor Place,Brea,California 92821 • Phone(714)529-0200• Fax(714)529-0203 <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 /> ❑ ti <br /> Project Name Pro'ect Manager ( <br /> (;�:A t t (i" (. � <br /> Client Sampler(initials&signature) <br /> Lab Project No.: <br /> Invoice to: "�AGE El Client <br /> Sample ID/Locatian/Description Dale Time Matrix Number Notes <br /> lv Z Z-1� I o5 <br /> 1l <br /> r � L <br /> x x <br /> xx� Ll <br /> \ Z``-` <br /> Relinqui D e: Tim Laboratory: <br /> -3 (7 P% ( <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 /> Requested Turn Around Time(circle): 24 hours 48 hours 72 h rs 5 days(standard) they: \\\ Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> ) i <br /> Geotracker EDF to: eotracker@advgeoenv.com [I Global ID: ' <br />