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0l _lu <br /> AdvancedG CHA1N OF CUSTODY RECORD Phone: (800) 511-9300 <br /> Fax: (888) 445-8786 <br /> An Employee-Owned Company DATE: 1 — I ()`Zy PAGE OF4 <br /> i . Analysis Required <br /> N Project Manager: <br /> 2., <br /> Project Name: Emil: <br /> ]� <br /> Client: Sampler: V) <br /> �lJ�vRVr V <br /> Address/Loca <br /> ti <br /> on: Lab Project No.: <br /> X44A 4L <br /> Sample ID/Location/Description Date Time Matrix # Notes <br /> 2 1'$-7V 0s S X <br /> -a- 1 o --y V <br /> oesb fl-uv9 <br /> Do" <br /> V - 3-0 o a�� <br /> Relinquished by: Date: Time: Laboratory: <br /> Courier: Received by, Date: Time: <br /> r% v <br /> Relinquished by: Date: Time: Received by. ate: Time: <br /> �<- L I2a /Jh 1 . 10 .2 I 1 <br /> Relinquished by: Date: Time: Received 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: t Authorized Signature: <br /> Page 37 of 41 <br />