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1] <br />Advanced Ge0Environmental' Inc. www.advgeoenv.com <br />837 Shaw Road, Stockton, California 95215 • Phone (209) 467-1006 ® Fax (209) 467-1118 <br />CHAIN OF CUSTODY RECORD <br />Data: 212-1 loci age 1 of <br />.� 381 Thor Place, Brea, California 92821 • Phone (714) 529-0200 • Fax (714) 529-0203 001O <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 Name Project Man r <br />Hent Sampler thsl nature) <br />H& <br />Lab Project <br />Involve to: )d AGE 11o. Client <br />1 <br />t <br />Sample ID/Location/Description Date Time Number Notes <br />`M1atrix <br />x <br />20 6D2 1-i ' %S CX <br />2121101 1 3Z3 <br />x X x <br />2. C/, <br />riI <br />2 J ® <br />�( <br />X <br />�t r <br />L t 2 <br />`�Was <br />r <br />iC x X <br />Re I i hed by Date- <br />Time: <br />Laboratory. <br />Court <br />Received by: <br />Date: <br />Time: <br />nn T <br />Relinquished by:r <br />Date: <br />Time: <br />Received by <br />Date: <br />Time: <br />Relinquished by: Date: Time: Received by J <br />Date: Time: <br />Requested Turn Around Time (circle): 24 haus 48 haus 72 hours ys star Other - <br />Matrix Codes: A = Air W = Water S = Solid <br />Special Instructions to lab: -p l ea& e - mo;M e � +I -{ VV_ Wo ie qo-r k -tta JFra_v S JC Bond . �' 0M1 <br />1Zmcke. kon @ Sjc-ohd - Cocr, Omd rr%a 1) QdVg20eA V. van. <br />Global HX N <br />Geotracker EDF to: 11 geotracket@advgeoenv.axtt <br />1 hereby authorize the performance of the above indicated work. <br />