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Advanced GeoEnvironmental, Inc. WWW.advlZeoenv.com CHAIN OF CUSTODY RECORD <br /> L.J 37 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 •Fax(209)467-1118 tr� Dater_o __Page�o2� <br /> 381 Thor Place,Brea,California 92821 •Phone(714)529-0200•Fax(714)529-0203 <br /> F-1 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 P <br /> Pro' M eager <br /> Pro�ett erne <br /> Client Sampler(initials& tore <br /> Lab Project No.: 's <br /> Invoice to: AGE ❑ Client <br /> Sample 1D/Location/Description Date <br /> Time Matra Number Notes <br /> Lx- <br /> -9 - 10 , o <br /> Date: Time: Lab�Tato{Y,r— <br /> quished by —O p r / � 11 f^ <br /> 6.✓ v_`J/ I [ LSA 1 s/ Date: Time: <br /> Received by: <br /> Courier: <br /> Date: <br /> Time: Received by: Date: Time: <br /> Relinquished by: <br /> Relinquished by: Date: <br /> Time: Received by: Date: Time: <br /> Matrix Codes: AI-Air W=Water S=Solid <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 ho 5 days(standard) er: 1 hereby authorize the performance of the above indicated work. <br /> Special instructions to lab: <br /> Global ID: <br /> Geotracker EDF W:0 geotmcker@advgeoenv.com ❑ <br />