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Advanced GeoEnvironmental, Inc. www,advReoenv.com <br />837 Shaw Road, Stockton, California 95215 * Phone (209) 467-1006 a Fax (209)467-1118 <br />381 Thor Place, Brea, California 92821 a Phone (714) 529-0200 * Fax (714) 529-0203 <br />2318 Fourth Street, Santa Rosa, California 95404 @ Phone (707) 570-1418 9 Fax (707) 570-1461 <br />'I <br />CHAIN OF CUSTODY RECORD <br />DaPage of <br />te. 2 2 lol <br />I Analysis Required I <br />E� 395 Del Monte Center, #111, Monterey, California 93940 * Phone (800) 511-9300 *Fax (831) 394-5979 <br />Project Name Project Manager <br />161'indeja- RC—mb r <br />Client Sampler tini I k Signature) <br />Hi'Ke `3awn <br />Lab Project No.: <br />Invoice to: AGE El Client <br />Sample ID[Location[Description Date Time Matrix Number Notes <br />I W <br />2 1:Z-11,09 <br />\AJ <br />lailn <br />L r)w;orim-h�L <br />8L - <br />X <br />(1151, 2 Ll I b S a <br />21,21 i6q <br />32-3 <br />W 't <br />W,\d'i (An4ckln <br />hfi� <br />Y <br />X <br />XI�K <br />L <br />212-71"Ool <br />lz'sqc) <br />JfjePn4t'un <br />VOC <br />1 <br />1 <br />A('"aAS&Lv" <br />-x' <br />X <br />X <br />Re ui§hed by <br />Date- <br />Time: <br />Q9 1126f) <br />Laboratory: <br />0-a RO-h <br />Received by: <br />Date: Time: <br />Relinquished by: <br />Date: <br />Time: <br />Received by: <br />Date: Time: <br />Relinquished by: <br />Date: <br />Time: <br />Received by: <br />E I <br />Date: <br />tequestedTum Around Time (circle): 24 bouts 48 hours 12 <br />'pecial Instructions to lab:TP 1 (20"s—, e - MC0 0. Cv <br />EDF to: 0 geotrackcr@advgeoenv.com <br />nays kitner: <br />+"C WIA0 � +U1 <br />Odvr <br />� pc (I L." C C" -'v <br />M <br />IvIdu IN 1. b. - — t11, 11 — 11 — I — 1— <br />e CN OZ. 3 c e via al, I hereby authorize the performance of the above indicated work, <br />C'C <br />