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Ad va n ced Ci eo custody recordAn Employee-Owned Company date- page^ of^Phone: (800) 511-9300Fax: (888) 445-8786r-—o ✓v-'vN VN-N?*/vS\ oovAnalysis Requlred\^)O-O'i ✓N/N^XProject Manager::?1<-t-t-rProject Name: —Email:Client:Address/Location:Lab Project No.:Sample lO/Locatlon/DoscriptionDateTimeMatrix#Notes(7 ' 5"0IKC\XIX^,'?0fXX- "]\^I0X-10\^,0X^ (ji ' / 5]0<X0^,R 'MJ\/\^v-0s/iRelinquished by; ADate: .C >AiajTime;Laboratory:yi/AiCourier * f) i *'^fReceived by.Ffj r\ rDate:Time;"lioRelinquished by: /-^ffrDate:QTSIoTime:/6?oReceived by: 17 7" s.Date:1 PI?-^L^>3DTime:\lp:tnxRelinquished by:Date:Time:Received by 1 j '-WDate: ' 'Time:Requested Turn Around Time: 24 hours 4S hours 72 hours ^ 5 days^^^^^^^ Other:Matrix Codes: A = Air W = Water S = SolidSpecial Instructions to lab:Global ID:Aulhorizec^^nature:Page 13 of 13