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Advanced Ge®Envir®nmental, Ine, www.advgeoenv com CHAIN ®F•.CUSTODY RECORD <br /> c.� 837 Shaw Road,Stockton,California 95215 a Phone(209)467-1006 • Fax(209)467-1118 j <br /> --- �!.••. ❑ 381 Thor Place,Brea,Califomia 92821 a Phone(714)529-0200 a Fax(714)529-0203 Date: 7r' Page j Of� <br /> - ❑ 2318 Fourth Street,Santa Rosa,California 95404 • Phone(707)570-1418 a Fax(707)570-1461 <br /> 395 Del Monte Center,#111,Monterey,California 93940 a Phone(800)511-9300 e Fax(831)394-5979 Analysis Required <br /> Project Na <br /> Project Managat <br /> Client GI _ •fi```L ��'. s_ ;�.':_- <br /> Samplerr(ipituds&signature) <br /> L { <br /> Invoice to: �AGE ❑ Client Lab Project No.: -� ,jy��5 7 <br /> 44\ F— <br /> Sample 1D/Location/Description DateC j <br /> Time Matrix Number ,Votes `"+�� 'u <br /> lip <br /> 12-2 1 <br /> Relinquished by: 1 -- Date: Time: Laboratory: <br /> Courier: - / .[ .0ALL <br /> j Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: <br /> Date: Time: <br /> Relinquished by: Date: Time: Received by: <br /> Date: Time: <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hour' 5 days(standard) Other: - <br /> Special Instructions rn lab: ._ <br /> Matrix Codes: A=Air W=Water S=Solid <br /> 1 hereby ariffro Ize the performance of the above indicated work. <br /> t i <br /> Geonacker EDF to:O geotmcker@advgeoenv.com ❑ Global ID: <br />