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Advanced GeoEnvironmental, Inc. WWW.advgcoenv.com CHAIN OF CUSTODY RECORD <br /> ® 837 Shaw Road,Stockton,California 95215 Phone(209)467-1006 • Fax(209)467-1118 Date: ' Z -b Page L of�' <br /> t•. <br /> 381 Thor Place,Brea,California 92821 a Phone(714)529-0200 a Fax(714)529-0203 ©6 <br /> M 2318 Fourth Street,Santa Rosa,California 95404 • Phone(707)570-1418 •Fax(707)570-1461 Analysis Required <br /> F7395 Del Monte Center,#111,Monterey,California 93940 a Phone(800)511-9300 a Fax(831)394-5979 O <br /> ProjeM F me ❑ PMsnage <br /> Q� <br /> Client Sam ler(holds to <br /> rif1 <br /> Lab Project No.: <br /> Invoice to: GE ❑ Client <br /> Simple 1D/LocationfDescription Date Time Matrix Number Notes <br /> —� - Z. l3 S New <br /> t —(o — .o <br /> -� JLtao t .n <br /> LI-q N c,o <br /> ed by: Date: Time: lahom ory: �(y!N <br /> 2-a4L,'U I <br /> Received by: Date// Time: <br /> Courier. (j 'j 6 <br /> _::: <br /> Relinquished by: <br /> Date: Time: Received y: Date: Time: <br /> Relinquished by: <br /> Date: Time: Received by: Date: Time: <br /> Matrix Codes: A=Air W=Water S Solid <br /> Requested Tum Arowd Time(circle): 24 hours 48 hours 72 hour 5 days(stanard dtha: <br /> = <br /> 1 hereby authorize the performance of the above indicated work. <br /> Special instructions to lab: <br /> Global ID: U�GJ <br /> Geotracker EDF to: 0 geotracker@advgeoenv.com ❑ <br />