Environmental Chemistry Chain Of Custody Page 2
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1
2Environmental Chemistry
Chain of Custody
EMSL Order Number
:
(Lab Use Only)
P
:
HONE
F
:
AX
Additional Pages of the Chain of Custody are only necessary if needed for additional sample information
Failure to complete will hinder processing of samples
Matrix
Preservative
List Test(s)
W=Water
1=HCL
S=Soil
2=HNO3
Client Sample ID
Comp
Grab
Date/Time
A=Air
3=H2SO4
Comments
SL=Sludge
4=ICE
O= Other
5=Other
Page
of
_ pages
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