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AdvancedGeo CHAIN OF CUSTODY RECORD Phone: (800) 511-9300 <br /> ,4rr-Em r Fax: (888)445-8786 <br /> p -Owned Company DATE: PAGE)OF_t' <br /> Analysis Required <br /> Project Manage <br /> '� Q <br /> Pro'ect Name: Email: s <br /> I L N C'O <br /> Client: JJ / Samp r• 4 <br /> rJit. V <br /> ddre Location, Lab Project No.: <br /> Sample ID/Location/Description Date Time Matrix I 9V $ <br /> P Z -10,31 - x k <br /> PP -3 <br /> P 5 -s -i <br /> } P <br /> 1) : 01 <br /> Relin/ by: Date: Time: Laboratory: ff <br /> C71 2 2 C h L n+\ <br /> Courier. 4V Received by: Date: TlmgL <br /> J" L _) <br /> Relinquished by: Date: Time: Received by: Date, Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Requested Tum Around Time: 24 hours 48 hours 72 hou 5 days Other: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab Global ID: Authorized Signature: <br /> r � . <br /> �� f f <br />