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_�k N5 of 87 <br />AdvancedGeo <br />CHAIN OF CUSTODY RECORD <br />Phony: (sao) 511-9300 <br />Fax: (888) 445-8786 <br />An Employee-Owned Company <br />DATE: 3.31-.73 PAGE OF <br />0-. <br />Analysis Required <br />v f <br />Project Manager: <br />,nom.. A1, l twv <br />Project Name: <br />Ema I: <br />.6i <br />f <br />Client: <br />Sampler; <br />(%J <br />N � <br />AddresslLocatlon: <br />Lab Project No.: <br />-C 6, w5f <br />Sample IDILocation]Description Date <br />Time <br />Matrix # Notes <br />— 1 <br />3 -3� z3 <br />° <br />i <br />-ll <br />1X <br />-1045 <br />^T2 <br />o� <br />>11 <br />72- r- <br />o <br />_T 2 - <br />(ADX <br />x <br />.n S Io— qOCA <br />G1 <br />1 <br />Relinquished by: <br />Date: <br />3 -cZ 3 <br />Time: <br />Om <br />Laboratory: <br />M ill-,7 <br />Courier: <br />Received by-. <br />Date: <br />Time: <br />Relinquished by: <br />Date: <br />Time: <br />Received by: <br />Date: <br />Time: <br />Relinquished by: <br />Date: <br />Time: <br />Received by: <br />Date: <br />Time: <br />Requested Turn Around Time: 24 hours 48 hours 72 hours <br />5 days Other: <br />Matrix Codes: A = Air W = Water S = Solid <br />Special Instructions to lab: <br />Global ID: <br />Authorized Signature: <br />_�k N5 of 87 <br />