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INSTRUCTIONS FOR COMPLETING CFIAIN-OF-CUSTODY RECORD Record the client name, address, contact, and a phone and fax number where the client contact can be reached in case of questions. Project ID/Description: Record the name of the project or clienUsite location, and the project number as assigned by the field team. (example-613215; x,y,z Chemical Co., WA). P. O.: Record a purchase order number for billing and reference purposes. Sample Matrix: Use one (1)chain-of-custody record per sample matrix. Circle the matrix which most accurately represents the samples included on the C-O-C, (ie. water, soil, oil, sludge). For multiphasic samples (eg. oil and water), or anon-listed matrix, circle "other" and describe the matrix in the space provided. Date and Time Collected: Record the date and exact time each sample was collected. Use 24 hr. clock. Client ID: List the complete identifying name/number of each of the samples you send. These ID's must correspond with the identifying labels on the sample containers. Number of Containers: Indicate the number of containers being shipped for the re- spective samples. Test Requested: In the vertical spaces denoted 'Tests Requested", indicate all para- meters for which the samples will be analyzed. Comments: The comment section can be used to record the waybill or air bill number if the samples are being sent by a shipping company, any special instructions to the laboratory regarding the processing of the samples or an indication if the samples are suspected to contain high concentrations of any hazardous materials. Signatures: When releasing custody of these samples, use the "Relinquished By" space to sign your full name, date and time of release. After verifying that all samples indicated are present, the person receiving the samples will sign in the "Received By" space to take custody of the samples. All other sections of the C-O-C record are for Analytica use, and should be left blank.