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z5-o $90 c? <br /> AdvancedGeo CHAIN OF CUSTODY RECORD Phone: (soo) 571-9300 <br /> Fax: (888) 445-8786 <br /> An Employee-Owned Company DATE: X IJ'She, PAGE_J OF <br /> Analysis Required <br /> /�v \ Project Manager: <br /> Project Name: Email: <br /> mes <br /> _Ae r <br /> Client: Sampler: <br /> Addresslt.ocatlon: Lab Project No.: <br /> Sample ID1LocationlDescription Date <br /> Time {M�atrriix # Notes <br /> 1�/ Jcly <br /> Relinquished by: Date: Time: Laboratory: <br /> s <br /> Courier: Received by: Date: Time: <br /> V/2,151/oVi <br /> Relinquished by: Date: Time: Received by: Date: Time: <br /> / 2,C) <br /> Relinquished by: Date: Time: R ved 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: Auth riz Signature: <br /> Page 11 of 12 <br />