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AdvancedGeo CHAIN SOF CUSTODY RECORD Phone: (800) 511-9300 <br /> Fax: (888) 445-8786 <br /> An Employee-Owned Company DATE; 7, PAGE_' OF <br /> :NI M Analysis Required <br /> Project Manager: <br /> i % \ • ; <br /> Project Name: Email: <br /> QL <br /> Client: Sampler: GG <br /> G <br /> Address/Location: Lab Project No.: <br /> Sample ID/Location/Description Date Time Matrix # Notes <br /> Relinquished by: Date: Time: Laboratory: <br /> Fav4e = <br /> Courier. Received b : Date: Time: <br /> Relinquished by: Date: Time: R el d e: <br /> Relinquished by: Date: Time: qeceived by: D te: Time: <br /> Requested Turn Around Time: 24 hours 48 hours 72 hours 5 days Other: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: Global ID: Authorize:Z1 <br /> Page 9 of 10 <br />