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Advanced GeoEnviron mental, Inc. wv���.advgcoenv.com CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-1118 Date: ')k 101 Page L of L <br /> LAJ <br /> ❑ 381 Thor Place,[area,California 92821 • Phone(714)529-0300• Fax(714)529-0203 07 —is ? <br /> %" ❑ 2318 Fourth Street,Santa Rosa,Calilirrnia 95404 • Phone(707)570-1418 • Fax(707)570-1461 Analysis Required <br /> ❑ 395 Del Monte Center,#1 11,Monterey,California 93940 • Phone(800)511-9300 • Fax(831)394-5979 <br /> Project Nacos project Managerj) Y��t J� <br /> I Y 'Q K ® �li..C� ,�11.1 <br /> Client Sampler uutials do sign �Iu,�r+e)- j <br /> Lab Project No.: �+ <br /> Invoice to: AGF•. ❑ Client <br /> Sample ID/Location/Description Date Time Matrix Number Notes c` <br /> 5 a <br /> 1-13-o(z11,15 <br /> -t2, 013q 5 1 <br /> 1.0 <br /> Relinquished by Date: Tintc: Laboratory: <br /> C TO <br /> Courier: Received hy: Date: Time: <br /> ®N .0 Date: Time: Received by: Dale: Time: <br /> Relinquished by: <br /> Relinquished by: Date: Time: Received by: /1 �� Date: Time: <br /> Requested'rurn Around Time(circle): 24 hours 48 hours 72 hours 5 days(standard) t her: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: r I hereby authorize the perlirrmance of the above indicated work. <br /> At Gh�bal ur � <br /> Geotracker EDF to:C1geotrackerGuadvgeoenv.com 0 Ivy F UI te4 J�� <br />