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Advanced GeoEnvironmental, Inc. WWW.adV,2e0en‘ COM CHAIN OF CUSTODY RECORD <br /> <br />837 Shaw Road, Stockton, California 95215 • Phone (209) 467-1006 • Fax (209) 467-1118 Date: / Page / of j <br />rea California 92821 • Phone 714 529-0200 • Fax 714 529-0203 <br /> <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 <br />ciAkk-peo , r) f--11-e-Z.c <br />Project Manager <br />% ( VailLifd. <br />Client Sampler (in als & ' ' signature) ....4.... <br />Invoice to: so/LAGE 0 Client <br />Lab Proje t No.: <br />w <br />Sample ID/Location/Description Date Time Matrix Number Notes ..... .1. <br />A i <br />F‘\P (t4 Ya4et 4io-r — /6/24/) q3D A- I <br />......_ ._ _ <br />Relinquished by p,44Acj Date: / _2m Ti me: Laboratory: <br /> 1-- <br />• <br />Courier: .-) <br />0-14,4-1' <br />Received by: . Date: Time: <br />Relinquished by: Date: Time: Received by: Date: Time: <br />Relinquished by: Date: Time: Received by:Date: <br />( ., -\.,- B.-- ?-/- <br />Time: <br />9:15a, <br />Requested Turn Around Time (circle): 24 hours 48 hours 72 hour'-., 5 days (standard) ther: Matrix Codes: A = Air W = Water S = Solid <br />-'*--s--------.. -Special Instructions to lab: ---) I hereby ama the p rmance of the above indicated work. <br />Geotracker EDF to: El geotracker4advgeoenv.com E <br />Global ID: