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Advanced GeoEnvironmental, Inc. ww .advgeoenv.com CHAIN CU TODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 a Phone(209)467-1006 a Fax(209)467-1118 Date: Page Of <br /> 381 Thor Place,Brea,California 92821 a Phone(714)529-0200 a Fax(714)529-0203 0 <br /> i <br /> 2318 Fourth Street,Santa Rosa,California 95404 a Phone(707)570-1418 a Fax(707)570-1461 Analysis Required <br /> 395 Del Monte Center,#111,Monterey,California 93940 a Phone(800)511-9300 a Fax(831)394-5979 <br /> ❑ <br /> Project Name �''` Project Manage <br /> Client Sampler(ft' is&signature) <br /> , <br /> Invoice to: 71'AGE El Client Lab Project No.: <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> atS <br /> r o <br /> 4 <br /> 9 — c 6 sZ— <br /> Relinquished by: Date: Time: laboratory: <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 /> IIIVVViii � ( L ._Z.-f-IS 1''i,1 <br /> Requested Tum Around Time(circle): 24 hours 48 hours 72 hou 5 days(standard)'other. Matrix Codes: A=Air W=Water S=Solid <br /> Special instructions to lab: I hereby Zethe of the above indicated work. <br /> V 1 <br /> Geotracker EDF to:11 6eonacker@advseoenv.com VO <br /> Global ID: <br />