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Advanced GeoEnvironmental, Inc. www.adveeoenv.com CHAIN OF CUSTODY RECORD <br /> 1�- <br /> p ;1837 Shaw Road,Stockton,California 95215 a Phone(209)467-1006 a Fax(209)467-1118 Date: y Page Of <br /> 7 381 Thor Place,Brea,California 92821 a phone(714)529.0200• Fax(714)529-0203 <br /> 2318 Fourth Street,Santa Rosa,California 95404 a Phone 707 570-1418 a Fax 707 570-1461 <br /> ❑ ( > ( ) � �� �� Analysis Required <br /> ❑ 395 Del Monte Center,#111,Monterey,California 93940 a Phone(800)511-9300 a Fax(831)394-5979 <br /> Project Name Project Manager <br /> ccl u �' <br /> Client Sampler(initials&signature) ` <br /> 1 <br /> Invoice to: AGE ❑ Client Lab Project No.: <br /> Sample ID(Location/Description Date Time Matrix Number Notes 1 <br /> �7 h�f7A15H 0`12 Ai li <br /> Y�kw ISI` 1 b <br /> Relinquished by: �r Date: Time: Laboratory: <br /> Courier: Received by: Date: Time: <br /> Q-t" C <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: \�i Date: Time: <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 ho rs 5 days(standard cher: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: t/ I hereby authorize the <br /> perrffnnnance of the above <br /> 'indicated work. <br /> Geotracker EDFt . eotracker@advgecenv.com 0 Global ID: <br />