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w Advanced GeoEnvironmental, Inc. WWW.advgeoenv.com CHAIN OF CUSTODY RECORD- <br /> 837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 •Fax(209)467-1118 Date:_(6 - 3-0q Page I of_' <br /> 381 Thor Place,Brea,California 92821 •Phone(714)529-0200 s Fax(714) 529-0203 <br /> ❑2318 Fourth Stree4 Santa Rosa,California 95404 s Phone(707)570-1418 • Fax(707)570-1461 Analysis Required <br /> 395 Del Monte Center,#1 11,Monterey,California 93940 s Phone(800)511-9300 • Fax(831)394-5979 <br /> ❑ Pro eet Manager <br /> Project am C01 <br /> Sampler(laltlals slur <br /> Client r� <br /> Lab Project No.: N <br /> Invoice to: �j AGE ❑ Client 1 <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> -71 <br /> - S- <br /> 10- L) <br /> - -S t�i30 0 X <br /> - S0 0 a <br /> - 5- S 'h,4\X < <br /> Xy <br /> *1 1-7. - . . -i�ll <br /> R <br /> -q - o Lon � � o <br /> ry <br /> ed bY: Date: h Time: Labom o�- - o Date: Time: <br /> Received by: <br /> : <br /> Date: <br /> Relinquished by: <br /> Date: Time: Received by: Time: <br /> Time: Received by: Daze: Time: <br /> Relinquished by: Date: <br /> Requested Tum Around Time(circle)' 24 hours 48 hours 72 ho 5 days(standard) er: <br /> Matrix Codes: A=Air W=Water S=Solid <br /> 1 hereby authorize the performance of the above indicated work. <br /> Special Instructions m lab: <br /> Global lD: � G/ � <br /> Geotracker EDF to:0 geonacker@advge v.com ❑ <br />