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AdvancedGeo CHAlN OF CUSTODY RECORD Phone: (sao) 51 1-s3oo <br /> Fax: (888) 445-8786 <br /> An Employee-Owned Company DATE:) 1 1 - z 3 PAGE l OF3 <br /> F MV <br /> Analysis Required <br /> Project Manager: <br /> Zani ' } <br /> Project Name: Email: <br /> Loty,ewwd1 <br /> Client: Sampler: <br /> Wv <br /> Address/Location: Lab Project o.: V <br /> o cA. o <br /> Sample ID/Location/Description Date Time Matrix # Notes 7 <br /> - 2 10- _ Oql 5 c, <br /> 1- D z.D I Ile <br /> to 69qr >e <br /> S 08 y.D Y <br /> (, <br /> Reli d by: Date: Time: Laboratory: <br /> Q <br /> : <br /> 11-1- 7,3 6E6 &A-V <br /> Courie . Received by Da e: Time: <br /> o <br /> Relinquished by: Date: Time: Received by: Date: ime: <br /> P77Z r { /z <br /> Relinquished by: Date: Time: Received by. D te� y Time: <br /> Requested Turn Around Time: 24 hours 48 hours 72 hours 5 days Other: Matrix Codes: A w Air W=Water S=Solid <br /> Special Instructions to lab: Global ID: Authorized Signature: <br /> Page 7 of 10 <br />