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A d va n c e d G e o CHAIN OF CUSTODY RECORD Phone: {800) 59�-9300 <br /> Fax: (888) 445-8786 <br /> An Employee-Owned Company DATE: 1q PAOEA OF <br /> in"N N goAnalysis Required <br /> Project Manager: <br /> Project Na e: Email: <br /> Client: Sampler: <br /> Address/Location: Lab Project No.: � <br /> v "e C/I <br /> Sample IDILocationlDescription Date Time Matrix # Notes <br /> U10- Ab - 'L 4SD 5 O <br /> 1� to - ?IT <br /> X <br /> Relinquished by: Ti _Laboratory: <br /> 10 7 � ,_ <br /> Courier: Received by: Date: Time: <br /> Relinquished by: Date: Time: Received y: Date: Time: <br /> Relinquished by: Date: Time: Recelved by: Date: Time: <br /> Requested Turn Around Time: 24 hours 48 hours 72 hour 5 days Other: Matrix Codes: A=Air W=Water S=Solid <br /> Special Instructions to lab: G€obal ID: Authorized Si re: <br /> Page 40 of 41 <br />