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A d v a n c e d G e o CHAIN OF CUS TOD Y RECORD Phone: (800) 511-9300 <br /> Fax: (888) 445-8786 <br /> An Employee-Owned Company DATE: t`- Lo -a Z y PAGE of <br /> Analysis Required <br /> Project Manager: <br /> Project Name: Email: <br /> P Ax t U i L r4 <br /> Client: Sampler: j <br /> V V V1 <br /> Address/Location: Lab Project No.: �J <br /> w- LAL I f CA 10 <br /> Sample ID/Location/Description Date Time Matrix # Notes <br /> NA - 2 <br /> • r+r <br /> 0 ! �3t� <br /> Relinquished Date: Time: Laboratory: <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date <br /> t Time: Received by: te: Time: <br /> - L fit` J f 2 <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: I Global ID: N)Mtll Authorized Signature <br /> Page 39 of 41 <br />