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263 S <br /> AdvancedGeo CHAIN OF CUSTODY RECORD Phone: (800) 511-9300 <br /> Fax: (888) 445-8786 <br /> An Employee-Owned Company DATE: PAGE i off <br /> 011, .1% N Analysis Required <br /> Project Manager: <br /> 6(_,JCW <br /> L1 <br /> Project Name: + Email: <br /> Client: Sampler I ` <br /> Addressil-ocation: Lab Project No.: t`S <br /> Sample IDlLocationlDescription bete Time Matrix # Notes <br /> -Du= 1 <br /> Relinquished y: Date: Time: Laboratory: „ a <br /> Q � <br /> Gourley: NJ Recely: b : Date: Time <br /> - k& ./2-/1 �_0, 9 <br /> Relinquished by. Date: Time: Receive(rbyf Date: me: <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> Requested Turn Around Time: 24 hours 48 hours 72 hours (-.!-!!Ys i Other: __ fyla Codes: A=Air W=Waler S=Solid <br /> Special Instructions to lab: Global 10: Aulho zed S natur . <br /> Page 15 of 16 <br />