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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD <br /> AF739❑837 Shaw Road,Stockton,California 95215 a Phone(209)467-1006 a Fax(209)467-1118 / 0 r y Datta: �9 Z —U 9 Page�of-4 <br /> 381 Thor Place,Brea,California 92821 a Phone(714)529-0200 a Fax(714)529-0203 b V t Q <br /> 5 <br /> 2318 Fourth Street,Santa Rosa,California 95404 a Phone(707)570-1418 o Fax(707)570-1461 Analysis Required <br /> Del Monte Center,#111,Monterey,California 93940 a Phone(800)511-9300 a Fax(831)394.5979 <br /> Project Nam M oager <br /> Client ampler(mitials <br /> Lab Project No.: � V <br /> Invoice to: AGE ❑ Client ^ <br /> Sample ID/LocatioulDeseription Date Time Matrix Number Notes La <br /> Ma S i <br /> 441 1a 30 5 i <br /> ASD _LAL 14 1Sa les cD <br /> Date: Time: Laboratory: <br /> eliq shed by: 0C1 t y <br /> .." Dete: Time: <br /> ouri <br /> Cer: Received by: O O <br /> Relinquished by: <br /> Date: Time: Received by: Date' T' e: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hours 5 days(standard) Other: Matrix Codes: A=Air W=Water S—Solid <br /> I hereby authorize the performance of the above indicated work. <br /> Special Instmctions to lab: / <br /> Global ID: <br /> Geotracker EDF to:❑ geotracker@advgeoenv.com 11 <br />