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Advanced Ge®Envfr®nmental, Inc. www,gdyiwynycom CHAIN OF CUSTODY RECORI <br /> $37 Shaw Riad,Stockton,California 93213 a Phone(209)467.1006 • Pax(209)467.1118 Date: !14 I _page 3-o f <br /> 381 Thor Ply,Brea,California 92821 •Phone(714)329.0200• Fax(714)329-0203 <br /> F-123 I$Fourth Sired,Santa Ro@a,Calif=lit 93404 •Phone(707)370-1418 • Pax(707)370.1461 Analysis Required <br /> ❑393 Del Monte Center,0111,Monterey,Callforttia 93940 • Phone(800)311=9300 o Fax(831)394=3979 <br /> projert Name � _ � .. 244 <br /> 6 � (� � project Manager � <br /> ' (dc <br /> Clienti� sampler(ioiEiats&@i t - .� <br /> a )t-- <br /> Irl <br /> Invoice to; ACrf: ® Client tab project Noa i <br /> Sampie ID/Location/Description Date 11me Matrix Number Notes <br /> HOLD <br /> -DC7olog lit L~ L� <br /> m rya, <br /> �Z p li dti �G <br /> r -�° ► H tit <br /> �571A- <br /> 1050 <br /> Hb t-9 <br /> HSL® <br /> -20 <br /> Relinquished by; ) - Date; Time; Laboratory; <br /> C:ourW Received by; Date: Tir»ai <br /> Relinquished by; [date; Time; R,eived by; Date; Tittle: <br /> Relinquished by; Date; Time; Roenlvad by; Data; Tit no: <br /> Requested Turn Around Timm(circle); 24 hours 48 hours 72 ho m75'day0fitart r cr; __. Matrix Codd@: A L-Air W_Witter 8 e Solid <br /> Special tnstructi©ns to lab; 1 hereby authorize the performanod of the above indicated work. <br /> 0ootrackcr EDP to;L71 pwackcrQp,*dvgow)v.com ® 010ba11D; IVA <br />