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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECO" <br /> 837 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 a Fax(209)467-1118 _ ^9 Date: wi r `t'- 6i Page�J <br /> Of <br /> 381 Thor Place,Brea,California 92821 • Phone(714)529-0200 a Fax(714)529-0203 'V � • � �j ;� <br /> 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 v Fax(831)394-5979 <br /> ❑ <br /> Gil <br /> Project Name Project Manager <br /> Client Sampler(initia signature) <br /> Lab Project No.: <br /> Invoice to: �� AGE ❑ Client J <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> 9"_1q — <br /> L _ 5 G <br /> t) <br /> I jj�� �j •l <br /> 1. <br /> Z I =A <br /> -� <br /> L/ -71 U Id <br /> Relinquished by- a 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 /> Requested Turn Around Time(circle): 24 hours 48 hours 72 Other: i! Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: �� I hereby orize the performance of the above indicated work. <br /> Global ID: <br /> Geotracker EDF to: 0 geotracker@advgeoenv.com ❑ / <br />