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r rr rr ilr � r r MIr <br /> P n%. 581r <br /> CHAIN-OF-CUSTODY RECORD <br /> Analytical Request <br /> Turn around Time <br /> Client Report To J + [j 24 Hours Pace Client No <br /> Address Bill To r ❑ 48 Hours Pace Project Manager <br /> F-1 3-5 Days <br /> P O #/Billing Reference r`t 7- ' ❑ 1 Week 2 Weeks Pace Project No <br /> S�Normal 14 Days <br /> Phone lProiect Name 1 No 'Requested Due Date <br /> Sampled By(PRINT) PRESERVATIVES ANALYSES <br /> w REQUEST <br /> Sampler Signature Date Sampled Z ¢ <br /> j O ISl J t <br /> f \ IV it <br /> LL LJJI Cc <br /> i z° ° Z REMARKS <br /> Il= <br /> 77F N < 1 <br /> 2 <br /> 3 <br /> 4 <br /> 5 <br /> 6 <br /> 7 <br /> 8 <br /> METHODSHIPMENT . TIME ACCEPTED;EB3Y AFFILIATION <br /> Additional Comments <br /> i <br /> SAMPLE CONDITION <br /> Temp °C Received on Ice Y 1 N I Sealed Cooler Y 1 N 5ampies Intact Y/N <br /> SEE REVERSE SIDE FOR INSTRUCTIONS M7 <br />