Laserfiche WebLink
Vs I <br /> AdvancedGeo CHAIN OF CUSTODY RECORD Phone: (800} 571-9300 <br /> Fax: (888) 445-8786 <br /> An Employee-Owned Company DATE: PAGE OF <br /> Analysis Required <br /> MProject Manager: <br /> oQ,- , Er—la <br /> Project Na Email: <br /> r i <br /> Client: Sampl* gl <br /> a� V <br /> Addre slLocation: Lab Project o.: <br /> Sample ID/LocationlDescription Date Time Matrix # Notes <br /> r 2 1 <br /> Relinquished by: Dat Time: Laboratory: <br /> j a <br /> Courier: Received by: Date: Time: <br /> UZI 6 <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Z 3� z 2r j zz- 13 --rte <br /> Relinquished by: Date: Time: Received by: Date: L 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: Authoriz d Si nature: <br /> Page 9 of 10 <br />