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�yAdvanced GeoEnvironmental, Inc. www.advgeoenv.corn CHAIN OF CUSTODY RECORD <br /> - I ts37 Shaw Road,Stockton,California 95215 • Phone(209)467-1006 • Fax(209)467-t 118 Date: 't� - i Paoe of� <br /> ___ ��__:, ❑ 381 Thor Place,Brea,California 92821 e Phone(714)529-0200• Fax(714)529-0203 —� <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 • Fax(831)394-5979 <br /> Project Name1 Project Manager 1 <br /> illp <br /> Client Sampler(initials&signatu ) <br /> Lab roject No.: V <br /> Invoice to: AGE El Client " <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> yr J f- t <br /> Relinquished 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 /> r, . <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 drs 5 days(standa7,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: ❑ geotracker@advgeoenv.com ❑ <br /> Global ID: <br /> 0 <br />