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Q d va n eed G eo CHAIN OF CUSTODY RECORD Phone: (800) 511-9300 <br /> Fax: (888) 445-8786 <br /> An Employee-Owned Company DATE: > Z PAGE t OF <br /> Analysis Required <br /> Project Manager: <br /> L <br /> Project Name: Emall: <br /> Client: Sampler: / <br /> 414 X <br /> Address/Location: Lab Project No.: <br /> Sample ID/Location/Description Date Time Matrix # Notes <br /> Relinquished by: " Date: Time: Laboratory: <br /> J <br /> Courier: l Receiv db Date: Time: <br /> Relinquished by: Dale: Time: Rec ive Date: Time: <br /> Relinquished by: Date: Time: Re ed by: D te: T me: <br /> } <br /> Requested Turn Around Time: 24 hours 48 hours 72 hours 5 days Other: Matrixodes A=Air W=Water S=Solid <br /> � r <br /> Special Instructions to lab: Global ID: Authorized Signature: <br /> VCr <br /> Page 10 of l 1 <br />