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AdvancedGeo CHAIN OF CUSTODY RECORD Phone: (800) 511-9300 <br /> Fax: (888)445-8786 <br /> An Employee-Owned Company DATE: 9 .� PAGE_/ OF� <br /> '� � \�y' Analysis Required <br /> Mn `yV/ Project Manager: <br /> Project Name: Email: <br /> �n c <br /> (C.— W,_S 1, - ?c.c J:c." <br /> Client: <br /> Address/Location: Iti lab Project No.: <br /> Sample ID/Location/Description Date Time Matrix 4 Notes <br /> �-o v k X <br /> x x x <br /> x x <br /> X <br /> IFNRelinquished by: Date: Time: Laboratory: <br /> 4 is 2� :20 OA/Me w <br /> Courier: Received by: Dane: T' <br /> L—S 0 <br /> Relinquished by: Date: Time: Received by: Data. I <br /> 4' <br /> Relinquished by: Date: Time: Received by' 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 />