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Advanced GeoEnvironmental, Inc. www.advgeoenv.com CHAIN OF CUSTOD ECORD <br />37 Shaw Road, Stockton, California 95215 • Phone (209) 4671006 • Fax (209) 467-1118 <br />Brea, California 92821 • Phone (714) 529-0200 • Fax (714) 529-0203 <br />i 2-f37 <br />Santa Rosa, California 95404 • Phone (707) 570-1418 • Fax (707) 570-1461 <br />Center, #111, Monterey, California 93940 • Phone (800) 511-9300 • Fax (831) 394-5979 <br />Date: 1 7 - 7,c— V Page I of i <br />381 Thor Place, - - Analysis Required 2318 Fourth Street, <br />395 Del Monte <br />n <br />Projec.kNa me Project <br />C\I <br />0 Ca•Ai \i e \ '5 --5f'''- <br />Manarier <br />COL i\J l-- a <br />Client Sampler (initials & signatnx,?.., <br />iti <br />Invoice to: ‘lifreaGE 0 Client <br />Lab Project No.: <br />Sample ID/Location/Description Date Time Matrix Number Notes <br />-Teit4e44--/fretfor i2.7./) I i osoo A <br />GFF11404-,/vrit 1 zzoil oao5— A fi <br />• Reiincit s by: <br />ii, .........., -- <br />Date: <br />ZO - i 1 <br />Time: <br />Rd) <br />Laboratory: <br />Crt-'(.....__ <br />Courier: <br />t)1A-41Cett <br />Received by: Date: Time: <br />Relinquished by: Date: Time: Received by: Date: Time: <br />Relinquished by: Date: Time: Received by: (7 Date: <br />i <br />Time: <br />Requested Turn Around Time (circle): 24 hours 48 hours 72 hours days (standard) 0 er: <br />6 <br />Matrix Codes: A = Air W = Water S = Solid <br />Special Instructions to lab: <br /> — I hereby authorize the performance of the above indicated work. <br />Geotracker EDF to:)Qeotracker@advgeoenvicom 0 Global ID: