Laserfiche WebLink
AdvancedGeo CHAIN OF CUSTODY RECORD Phone: (800) 511-9300 <br /> Environmental Fax: (888) 445-8786 <br /> Analysis Required <br /> M \ DATE: PAGE OF <br /> An En7pioyee-Owned Compcm), <br /> Project NameProject Manage <br /> S <br /> Client Sampler rMitials&signature) <br /> T` <br /> Invoice to: AGE ❑ Client Lab Project No.: <br /> Sample ID/Location/Description Date Time Matrix Number Notes <br /> Relinquished by: i Date: Time: Laboratory: <br /> , <br /> ) (. �� L'Cl U(' I.i 1 <br /> Courier: Received b Date. Time: <br /> — l/ c Y Ir( i`�r <br /> Relinquished by: Date: Time: Rceiv d by: Date: Time: <br /> t� 1 l ► � 1`100 ��� ,�, ��E. l�Z� <br /> Relinquished by: Date: Time ece ved by: Date: Time: <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hors 5 days(standard) r: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> i <br /> Geotracker EDF to: ❑ geotracker@advgeoenv.com Global ID <br /> El Global <br /> ° �f <br />