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AdvancedGeo <br /> 4 Phone: (800) 511-9300 <br /> Fax: (888) 445-8786 <br /> Environmental K } NOF, A <br /> or�/���/ (J/V, P , <br /> ��1; `} Analysis Required <br /> An Employee-Owned Company1 �' " <br /> Project Name ProjeSt Manager <br /> Client Sampler(initials&signature) <br /> EDJ <br /> V v <br /> Invoice to: AGE ❑ Client Lab Project No.: At <br /> r+ <br /> Sample ID/Location/Description Date Time Matrix Number 17 C l t� Notes fr'� <br /> Wo 5 <br /> x )c <br /> Relinquished by: Date: Time: Laboratory: <br /> A4 dw <br /> Courier: Received y: Date: Time: <br /> 11 <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Requested Turn Around Time(circle): 24 hours 48 hours 72 hours/,days(standard) ther: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: I hereby authorize the performance of the above indicated work. <br /> Geotracker EDF to:0 geotracker@advgeoenv.com ❑ Global ID'. <br />