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2 0'_ C <br /> AdvancedGeo CHAIN OF CUSTODY RECORD Phone: (800) 511-9300 <br /> Fax: (888) 445-8786 <br /> An Employee-Owned Company DATE: > `Z PAGE OF <br /> Analysis Required <br /> Project Manager: <br /> Project Name:/. n Email: <br /> f <br /> i t <br /> Client: Sampler: /r <br /> mad, — <br /> Address/Location: Lab Project o.: 1(� <br /> Sample ID/Location/Description Date Time Matrix # Notes <br /> hr <br /> Relinquished by: Dale: Time: Laboratory, �{ <br /> Courier: Received by: Date: Time: <br /> Relinquished bDate: Time: Received b Dat Time: <br /> T <br /> L J, — k v 1 <br /> Relinquished by: Date: Time: Received by: N Dat Time: <br /> i <br /> Requested Turn Around Time: 24 hours 48 hours 72 hours 5 days Other: <br /> Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: Global ID: <br /> Authorized Signature: <br /> U � <br /> v <br /> Page 9 of 10 <br />