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2101 LrTli� <br />AdvancedGeo <br />An Employee -Owned Company <br />Project Name: <br />�— <br />Client: <br />Address/Location: <br />Sample ID/LocationlDescription Date Time <br />CHAIN t;)FCUSTODY RECORD <br />DATE; I iZ PAGE OF <br />� � <br />Project Man a er: <br />Ernail: <br />Sampler: <br />Lab Project o.: <br />Matrix # Notes <br />Phone: (800) 511-9300 <br />Fax: (888) 445-8786 <br />Analysis Required <br />moi• <br />_ <br />1ZJ <br />F <br />Relinquished by: <br />Date: <br />Time: <br />Laboratory: <br />(I.- <br />Courier: <br />I <br />Received by: <br />Date: <br />/72-) <br />Time: <br />//00 <br />Relinq shed by: <br />Date. <br />ZI <br />Time. <br />1>,N <br />Received by: <br />%V, <br />Date: <br />2 <br />Time: <br />i <br />Relinquis ed by: <br />Date: <br />Time: <br />Received by: <br />Date. <br />Time: <br />Requested Turn Around Time: 24 hours 48 hours 72 hours c <br />5 days Other:_ <br />Matrix Codes: A = Air W = Water S = Solid <br />SWI Instructions to lab: U �{ <br />Global ID: y <br />Authorize Sign lure: , <br />t, .. <br />Page 9 of 10 <br />