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Advanced GeolEnvironmental, Inc. www.advaeoenv.colD CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 � 'a Date:—1-3 r3 -CV Page of G— <br /> i. .., 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,#1 l 1,Monterey,California 93940 • Phone(800)511-9300 •Fax(83 1)394-5979 <br /> ❑ `7 <br /> Pr 'ec[Name Project Manager •,L <br /> i <br /> Client Sampler(initials&sign <br /> Invoice to: AGE ❑ Client Lab Project No.: I <br /> t1 <br /> Sample ID/Location/Description ,+Date Time Matrix Number Notes y <br /> R inquished by: Date: ()'110 Time: Labo ry: <br /> Ch <br /> Courier: I Received by: Date: Time: <br /> On TV42 <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished bv: Date: Time: Received by: j���^�7 Date: J Time: <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hour ys(standard) Other: Matrix Codes: A=Air w=water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of [ ove indicated work. <br /> Global ID: <br /> Geo[racker EDF to: geotracker@advgeoenv.com ❑ <br />