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�M CHAIN OF CUSTODY RECORD <br /> E N 4 I M F E E I M 4 <br /> LABORATORY: INSTRUCTIONS FOR LAB PERSONNEL: Analysis Turnaround Time X Standard ❑ Other <br /> Please send analytic results, electronic deliverables and the original GeoTracker EDF required? ❑ Yes X No <br /> chain-of-custody form to: LOCUS EDD required? ❑Yes ❑ No <br /> Report Results to: ❑ RL ❑ MDL <br /> Report soil results to: ❑ wet weight (total) ❑ dry weight <br /> CDIM CONTACT: Project Manager: ANALYSIS REQUESTED COC Number: <br /> Phone Number <br /> Sampled by: <br /> Sample date(s): Page_ of <br /> PROJECT INFORMATION <br /> Job Name: SDG number: <br /> Job #: <br /> Address: <br /> Sample # of <br /> Lab ID Sample Identification Sample Date Sample Time Matrix Cont. Sample Specific Notes: <br /> Field Filtered (X): <br /> Preservation Used: 1= Ice, 2= HCI; 3= H2SO4; 4=HNO3; 5=NaOH; 6= Other <br /> Special Instructions/QC Requirements & Comments: <br /> Relinquished by: Li Company: Date/Time: Received by: Date/Time: <br /> Relinquished by: ❑ Company: Date/Time: Received by: Date/Time: <br /> Relinquished by: ❑ Company: Date/Time: Received by: Date/Time: <br /> x = Samples released to a secured, locked area. • =Samples received from a secured, locked area <br /> SAMPLERS NAME MOBILE# <br /> SAMPLERS SIGNATURE DATE/TIME <br />