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EDGMeA lfbMar 377-11 -17 <br /> gOG2.0 -0 CHAIN-OF-CUSTODY RECORD <br /> Analytical Request <br /> �} Tum around Time � <br /> Client 4-TI A►ki3 Re ortTo I��V r�s-g Pace Client No <br /> �} E)24 Hours <br /> Address Bill To 1` 5T iZ i ❑ 48 Hours Pace Project Manager <br /> ❑ 3-5 Days <br /> P O #I Billing Reference_5-75-9600 1 Week 2 Weeks Pace Pro act No <br /> Phone Project Name!No t 4Normal 14 Days Requested Due Date 7 <br /> Sampled By(PRINT) �¢ PRESERVATIVES ANALYSES <br /> ST <br /> 1 C. 7/Q a w <br /> Sampler Signature Data S pledZ ¢ y ,Q <br /> ' IZ: �a <br /> O a m O Q p <br /> ` z z z ° z REMARKS <br /> 2 (ADO I D <br /> 3 MW Ib J3tI�! 2 <br /> 4 M w r Iy'o� 3 <br /> 5 w 404 X <br /> 6 (A) f I'f aFP Z X <br /> 17 <br /> E <br /> s <br /> METHODER <br /> SHIPMENT OF .: RELINQUISHED BY I AFFILIATION DATE TIMEACCEPTED BY AFFILIATION DATE TIME <br /> 1r D <br /> Additional Comments <br /> SAMPLE CONDITION <br /> Temp r. °C Received on Ice b N Sealed Cooler bN I Samples Intact 61 N <br /> SEE REVERSE SIDE FOR INSTRUCTIONS X97 <br />