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AdvancedGeo CHAIN OF CUSTODY RECORD Phone: (800) 51 1-93U0 <br /> Fax: (888) 445-8786 <br /> An Employee-Owned Company DATE: 11- 1 Z3 PAGE z-oF 3 <br /> i 7 M Analysis Required <br /> OWN^ Project Manager: <br /> � V� <br /> Project Name: Email: <br /> od Paz <br /> Client: Sampler: <br /> Address/Location: Lab Project No.: J <br /> a l_o C off I I D <br /> Sample ID/Location/Description Date Time Matrix # Notes 7 <br /> 2 14.30- O ti� 5 I YJ <br /> Vs - S- OSV) I I <br /> - !0 <br /> tgJ <br /> ►o-Lo <br /> o-W <br /> V 4 �� S <br /> Relinquished b Dater ' 2 �� Laboratory: <br /> AT <br /> Courier: Received b Date: Time: <br /> 4- <br /> Relinquished by: Date: Time: Received b Date: Time: <br /> Relinquished by: Date: Tim a ed by: Date: Time: <br /> Requested Turn Around Time: 24 hours 48 hours 72 hours 5 days Other: Matrix Codes: A=Air W=Water S-Solid <br /> Special Instructions to lab: Global ID: Authoriz d Signature: <br /> Page 8 of 10 <br />