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Pace Analyfical 399127 <br /> -3— CHAIN-OF-CUSTODY RECORD <br /> Analytical Request <br /> lura around Time <br /> Client s _ Re ort To RA� Puss Pace Client No <br /> ❑ 24 Hours � <br /> Address- -- S II To 1 SZ a,l ❑ 48 Hours Pace Project Manager <br /> — -- ❑ q �Or ��t�Z I <br /> _ P 0 #1 Billing Reference J— 3-5 Days 3 ❑ t Week 2 Weeks Pace Project No 11 0 <br /> Phone Pro ect Name/No Normal 14 Days <br /> 'Requested Due Date <br /> Sampled By(PRINT) ¢ PRESERVATIVES ANAVS <br /> Q � REQ <br /> Sampler Signature+ Date Sampled Z > 0 <br /> ° � U o Cc o <br /> ITEMa O Q 0 G <br /> NO. SAMPLE DESCRIPTION TIME MATRIX FACE No. o Z N z oz REMARKS l <br /> 13,53 3 x <br /> 2 � <br /> Iry z U 13s3 3 X ?� <br /> 3 ' � w z � 13s3 X <br /> MLJ <br /> i5 U) ` L s <br /> 6 w t � <br /> X71 <br /> 18 <br /> METHODSHIPMENT <br /> r � . .. UsSHEDEY/A ILIATION DAT ACCEPTED BY/AFFILIATION DATE TIMEFIELINO FF E TIME <br /> Additional Comments <br /> SAMPLE CONDITION <br /> Temp °C Received on Ice YIN I Sealed Cooler YIN Samples Intact N <br /> 1• l♦� � � � � � � � L7�R C,�n R� 11�?11 f�111!C• � <br />