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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTODY RECORD <br /> 837 Shaw Road,Stockton,California 95215 •Phone(209)467-1006 • (209)467-1118 <br /> te: r 3 Page <br /> 9381 Thor Place,Brea,California 92821 •Phone(714)529-0200• Fax(7"14)529-0203 <br /> Q ) �' ��" <br /> QSI oft <br /> 2318 Fourth Street,Santa Rosa,California 95404 • Phone(787)570-141 . <br /> 9 •Fax(707)570-1461 Analysis Required <br /> 395 Del Monte Center,#111,Monterey,California 93940 • Phone(800 1-9300 •Fax(831)394-5979 <br /> El0 <br /> fl <br /> Project NameOO�l G r C ProjeMManager � <br /> A�r s <br /> Client Sampler(initi signature) /- <br /> Invoice to: AGE ElClient Lab Project No.: <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> 1 - ' A- )o S <br /> 13 S <br /> 3 - lvon5 1 <br /> _ S Co 1 <br /> ��- Q <br /> Relinquished by: Date: Time: Laboratory: <br /> y� CIEL <br /> ourM Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: <br /> Time: <br /> Relinquished by: Date: Time: Received by: n /7 Date: Time: <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 Yfirs 5 days(standard) Other: Matrix Codes: A=Au W=Water S=Solid <br /> Special Instructions to lab. I hereby aphorize the performance of the above indicated work. <br /> / L �� <br /> ID- <br /> 16 EDF to:Elgeotracker@advgeoenv.coGlobal ID: <br /> m ❑ <br />