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AdvancedGeo CHA/N OF CUSTODY RECORD Phone: (800) 511-9300 <br /> Fax: (888)445-8786 <br /> An Employee-Owned Company DATE: N PAGEJOF.� <br /> Analysis Required <br /> RrgjeC#Man9ger; <br /> Project Name: r f qq Email: <br /> cllent; Sampler: p <br /> Address/Location: Lab Project Na.' .n <br /> Sample ID/Location/Description Date Time Matrix # Notes <br /> Ti -,.-, w� �, :��� F4 <br /> I ( - (, _ 1�" t : 1.9.r, I (,G,:k— m� S c"J%, T4„K ?G A X <br /> T l - _ r� I o : r 3 5 E"V S;Jlc. 4 So.rt+, Tc--k 7- <br /> � x <br /> -rz-- c'+ I mo' S I r/ Qz4 S:ii1c of- Ill= At 6.e k y- <br /> 1 <br /> 1 z ,% of M.A.C. P x <br /> 1� WC4 S:dt of NorK T&-..IC <br /> o4- Nor+%, `('ti,,,.k X <br /> Relinquished by: Date: Time: Laboratory: t <br /> 1S Zo �t:2 �K v:�o - C kc•r, <br /> Courier. LS// Received by: } Date: Time: <br /> V <br /> Relinquished by: Date: Time: Received by: Date: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Requested Turn Around Time: 24 hours 48 hours 72 hours 5 Other: _ Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab Global ID: Authorized Signature: <br />