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A vanced GeoEnvironnlental, Inc. vvWw.advgeoenv.com CHAIN OF CUSTODY RECORD- <br /> �r / \ <br /> _ 837 Shaw Road,Stockton,California 95215 o Phone(209)467-1006 •Fax(209)467-1118 r� G� Date: .li - 6– I dC Page oF� <br /> �• ❑'. 1 Thor Place,Brea,California 92821 •Phone(714)529-0200•Fax(714)529-0203 U V — ' t < <br /> ' j; " • <br /> F7 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 <br /> Project Name �1,❑ Project Manager <br /> Client Sampler(Initials& stare) <br /> Invoice to: 11AGE ❑ Client Lab Project No.: f Q <br /> ( <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> eta ' ;n-I -f6-6 i3�lD <br /> Relinquished by: Date: f7// Cl <br /> Time: Laboratory: —•� <br /> 'U [700 <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Requested Tum Around Time(circle); '24 hours 48 hours 72 ho 5 days(standar her: Matrix Codes: A=Afir W=Water S=Solid <br /> Special instructions to lab: I hereby authorize the performance of the above indicated work. <br /> onacker EDF to:El gcmmcker@advgeoenv.com 0 Global ID: - - - - <br />