Laserfiche WebLink
AdvancedGeo CHAIN OF CUSTODY RECORD Phone: (800) 599-9300 <br /> Fax: (888) 445-8786 <br /> An Employee-Owned Company DATE: 113_ Z !l PAGE ZQFA <br /> r 'N 0%0%^ Analysis Required <br /> Project Manager: <br /> -0 � v <br /> Project Name: 711- <br /> Lo,V_e%,xcja <br /> Client: Sampler: <br /> AddresslLocation: Lab Project No.: J <br /> Sample ID/Location/Description Date Time Matrix # Notes <br /> Q 8 • Z 1-$ z 1 oy,r S 1, <br /> g - l.o"Vo <br /> tom <br /> Q A - LIC) l do 1�-V <br /> 0t ` 1%-� ko11� <br /> 0 9 <br /> Relinquished by: Date: Time: Laboratory: <br /> G / <br /> Courier: Received by: Date: Time: <br /> 1vZ_ (- <br /> Relinquished by: Date: Time: Received b . Date: Time: <br /> 1 /�2z1 1 i- 1P <br /> Relinquished by: Date: Time: Received by: y 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: Authorized Signature: <br /> Page 38 of 41 <br />