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® Advanced GeoEnvironmental, Inc. www.advpeoenv.com CHAIN OF CUSTODY RECORD <br /> 09 837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 a Fax(209)467-1118 Date: Page--4—of <br /> v ❑381 Thor Place,Brea,California 92821 a Phone(714)529-0200• Fax(714)529-0203 13- 01 <br /> / <br /> ❑2318 Fourth Street,Santa Rosa,California 95404 a Phone(707)570-1418 •Fax(707)570-1461 b Analysis Required <br /> �J <br /> F-1395 Del Monte Center,#111,Monterey,California 93940 a Phone(800)511-9300 9 Fax(831)394-5979 <br /> Project Name A Project Manager D <br /> Client Sampler(initials&signs ) <br /> Invoice to: AGE ❑ Client <br /> Lab Project No.: 1 <br /> Sample ED/Location/Description Date Time Matrix Number Notes <br /> � 13 <br /> Relinquished by: Date: Time: Laboratory: <br /> (f ( bb CC <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 /> �Jt�J lo- 2�� 9•... <br /> Requested Tum Around Time(circle): 24 hours 48 haus 72 hou 5 days(stand,arlll Other= Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> Geotracker EDF to:Xgeonacker@advgeoenv.com ❑ Global ID: <br />