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Advanced GeoEnvironmental, Inc. www.adveeoenv.coi CHAIN OF CUSTODY RECORD . <br /> 37 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 Dater 3 - I Z G Page of� <br /> ii .. ❑ 381 Thor Place,Brea,California 92821 • Phone(714)529-0200•Fax(714)529-0203 LI p ���"` <br /> ❑ 2318 Fourth Street,Santa Rosa,California 95404 • Phone(707)570-1418 •Fax(707)570-1461 1, Analysis Required <br /> ❑ 395 Del Monte Center,#111,Monterey,California 93940 •Phone(800)511-9300 • Fax(831)394-5979 <br /> ❑ t <br /> Projec 'ame Proje impler Z I <br /> Le r� •(!•fir 1` <br /> Client Sampler inttia s&sig <br /> AW �ll <br /> Lab Project No.: V <br /> Invoice to: AGE ❑ Client <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> -1 --r z iL 695-'� <br /> - a <br /> 6cd� « <br /> �j _ 1yy15— <br /> Z-0 G135 <br /> Z� at <br /> L f? b 2 <br /> Cb <br /> P <br /> Relinquished b Date: Time: Laboratory: <br /> 2 Z 1 <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> LRelinquished by: Date: Time: Received by: ) Date: Time: <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 ho 5 days(standard) then. Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> Global ID: <br /> Geotracker EDF to: g otrackerQadvgeoenv.com ❑ <br />