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A o�-1� <br /> Advanced .- _ _ CHAIN OF CUSTODY RECORD Phone: (aoo) 511-ssoo <br /> Fax: (888) 445-8786 <br /> An Employee-Owned Company DATE: PAGE_�OF <br /> Analysis Required <br /> Project Ma na er: <br /> Project Name: Email: <br /> Client: Sampler: <br /> Address/Location: Lab Project No.: <br /> Sample ID/Location/Description Date Time Matrix # Notes <br /> Relinquished by: Date: Time: Laboratory: <br /> Kzz K1V&iiACourier: Received by: Date: Time: <br /> P/u 70 l Z� <br /> Relinquished b : Date: Time: Received by: D te: Time: <br /> 2o L,33J'6 <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Requested Turn Around Time: 24 hours 48 hours 72 hours 55 daOther: trix Codes: A=Air W=Water S=Sotid <br /> 1V �Special Instructions to lab: Global ID: Author ed ignature• <br /> o <br /> Page 8 of 9 <br />