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2m C <br /> AdvancedGeo CHAlN OF CUSTODY RECORD Phone: (800) 511-9300 <br /> Fax: (888) 445-8786 <br /> An Employee-Owned Company DATE: Y1,21 . PAGE OF / <br /> Analysis Required <br /> ProjectManager: <br /> Project Nie: Email: <br /> Client: Sampler: <br /> Address/Location: Lab Project No.: <br /> l llSample ID/Location/Description Date Time Matrix # Notes <br /> i!cJ l l <br /> Relinquished Date: Time: Laboratory: <br /> Courier: Receiv_gd y: Date: Time: <br /> rh 1 910 C- 0 0 j <br /> Relinquished by: Dale: Time: Received by: Date: ime: <br /> Relinquished by: Date: Time: Re,:eived by: ` Date: Time: <br /> Requested Turn Around Time: 24 hours 48 hours 72 hours 5 days Other: Solid <br /> �- Matrix Codes: A=Air W=Water S-_ - <br /> Special Instructions to lab: Global ID: Authorized Signature: <br /> / L <br /> Pace 8 of� <br />