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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAINOF CUSTODY RECORD <br /> {� 837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 •Fax(209)467-1118 Date: 6-1-6 -L Page Zof� <br /> ❑.J 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 kn O <br /> El O <br /> Project N me Pr ager <br /> fN <br /> Client Samp er{Initlals W <br /> ( <br /> Lab Project No.: <br /> Invoice to: AGE ❑ Client <br /> Sample ID/Location/Description Date Time Metria Number <br /> Notes <br /> _ 3 _-� s -Z Oto S 1 N��►� <br /> lop <br /> 13- -3 <br /> toUb 1 H� <br /> 3 C' d; c r•4�D <br /> *13 <br /> -Ll . <br /> e mqu by: Date: c Time: labora1 �� <br /> /CIO 1i / Time: <br /> Received by: l� Date: <br /> Courier: {p13b 6 &Z) <br /> Relinquished by: Dale: <br /> Time: Received y: Date: Ti e: <br /> Relinquished by: Date: <br /> Time: Received by: Date: Time: <br /> Requested Turn Around Time(ci¢le): 24 hours 48 hours 72 hours ays(standard) er: <br /> Matrix Coda: A=Air W=Water S=Solid <br /> I hereby authorize the performance of the above indicated work. <br /> Special Instructions to lab: <br /> Global 1D: <br /> Geotracker EDF to:❑ geotmcker@advgeoenv.com ❑ <br />