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Advanced GeoEnvlronmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD <br /> r. <br /> 837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 •.Fax(209)467-1118 Date: Z gage of tr <br /> ,..ti ❑381 Thor Place,Brea,California 92821 •Phone(714)529-0200 a Pax(714)529-0203 Q Z <br /> ❑2318 Fourth Street,Santa Rosa,California 95404 • Phone(707)570-1418 a Fax(707)570-1461 <br /> Analysis Required <br /> ❑395 Del Monte Center,#111,Monterey,California 93940 r Phone(800)511-9300 •Fax(831)394-5979 <br /> Project Name Project Manager <br /> r <br /> Client Sampler is&signature) <br /> Lab Project No.: <br /> Invoice to: AGE 13Client <br /> Sample IDILocatlonlDescription Date Time Matrix Number Notes <br /> LZ Z 121 <br /> z z S <br /> LE <br /> Relinquished by: Date: Time: Laboratory: <br /> /Z�_/J -2— — = 7� <br /> Courier: Received by: Date: T;�: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished hy; Date: Time: Received by: In J Date: Time: <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hours 5 days(standard) Other: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: y/ n � I � 1 hereby o the ante of the above indicated work, <br /> GlobalID: C <br /> Geotracker EDF to:13geotracker@advgeoenv.com ❑ tr <br />