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7AdvancedGeoAn Employee-Owned CompanyCHAIN OF CUSTODY RECORDDATE: Uj PAGE 0^2-Phone: (800) 511-9300Fax: (888) 445-8786Project Manager:1cCi4-$<Vy-3sProject Name:n<r\ Ca(:eAEmail: "Client: ^ jAddross^Locatlon:Lab Project No.:Sample ID/Location/DescriptionDateTimeMatrix#Notesinv^51Xy110(3XHI o>Iy■%Iy|R<9\XXmmII V/3r\foUVl35\Xy\lS7iJ\Xy-CuriV^K1/1^/0,9OW ■ -b^nuiS1yRelinquished by: V I _Date: ,Time;6fl'oLaboratory;/Vv/QiCourier: \ ^ > ■ ■Received by:PrrDate:Time:Relinquished by:Date:Q23>Z<^Time:mjReceived by. /zO^^/'/yf^/vnPr-^-'^TsfTJim) l4<Time: 'Relinquished by:Date:Time:Received kw: jDate:Time:^Requested Turn Around Time;24 hours48 hours72 hours 5 days^^^Other:Matrix Codes: A = Air W = Water S = SolidAuthorized Sforlature:Special Instructions to lab:GlobaLID:Page 15 of 16