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+� � r r r r rrr r rr rr rr rr ■r <br /> a � i3s1 �3 423483 <br /> VOOW CHAIN-OF-CUSTODY RECORD <br /> Analytical Request <br /> Client ! �� Re or#To Turn around Time Pace Client No <br /> ❑ 24 Hours <br /> 1ddress 3 2 U d Ln! I O A�rc B,II To ❑ 48 Hours Pace Project Manager <br /> /n� ❑ 3 5 Days <br /> ILQ �5 P O k 1 Billing Reference 3 ❑ 1 Week 2 Weeks Pace Project No <br /> r0 —715' — (1/ / ❑ Normal 14 Days <br />'bonaPro act Name!No QCIr_TO� `ll}Q.� 'Requested Due Date <br /> sampled BY(P 1T) Q PRESERVATIVES RNA <br /> EQ ES ! <br /> QA <br /> >3ampler S,gnalure Date SampledznL/ j / �� Ozv zd p <br /> LU <br /> 11 7 a.$AMPLE DESCRIPTION TIME MATRIX PACE NO. REMARKS <br />`' <br /> 5 <br /> 7 <br /> B <br /> Iff-M. ATE TIME ACCEPTED BY I AFFILIATI <br /> 29 r I-rau FAD Cic a9 'Ic <br /> ddltional Comments <br /> SAMPLE CONDITION <br /> Temp °C Received on Ice Y/N Sealed Cooler Y/N Samples Intact Y!N <br /> SEE REVERSE SIDE FOR INSTRUCTIONS 6/97 <br />