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A d v a n c e e o CHAIN OF CUSTODY RECORD Phone:(800) 599-930D <br /> Fax: (888) 445-8786 <br /> An Employee-Owned Company DATE: PAGE 1 OF <br /> fn� 0%^^ Analysis Required <br /> v 1 N Project Manager: <br /> \ 111� M/\ ► � <br /> ,?IYA-ttr- n1 <br /> Project Name: Email: �y v <br /> a P -tt.� G7'L lA/ST7IT r _ Nf <br /> Client: Sampler: <br /> 5 Us 0 <br /> Address/Location: �/r Lab Project No.: v <br /> 36� f•� <br /> Sample ID/Location/Description Date Time Matrix # Notes <br /> X <br /> 7/m l 3 s <br /> Relinquis ed by: Date: Time: LaboratoW� <br /> CourieftV Received by: Date: Time: <br /> 33l )moo 0 <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date:' me: clue y: Date:. 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: Authorized Signature: <br />