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Sampler. Vj 15 L4 L)utr .,h;pped: <br />Telephone. Nirbill Number: <br />SHIP TO: <br />McLaren Anakl"G al Laboratory <br />I 1101 White Rock Road <br />G <br />CHAIN OI-' CUSTODY R <br />j t>� -Can err: <br />LA -00.1 <br />CCK Cr:. <br />SEND RESULTS'ro: <br />Client Name:�r=� ,H02P�t� <br />Rancho Cordova. CA 95670 Compare:. t'iv�� o"-- <br />(916) 639-3696 <br />v— <br />(916)63x-3696 <br />Address: <br />�O � OX. '3 S �- <br />S2yl -• .1) c.?o9 <br />��- Phonc: �_9 <br />PROJECT NAMEAko9,j!E,c vi WsARt4A-(i PROJECT#: 0 <br />LABORATORN'PRO ,CT(LP)#: _ �•SwcS P.O. #: <br />Relinquished Received by. Date <br />Relinquished by: ,s„ �, i Received by• S,r mw� Dai Tim, <br />Relinquished b, <br />Time <br />ANALYSIS REQUEST <br />Sample ID <br />Sample <br />Type of Number of <br />Number <br />Descnption <br />Da <br />Mme <br />Analysis Requested T.A.1 <br />Container Containers <br />Q3 � � 1 <br />G,S- � <br />Iz�.'a <br />_ 1133 <br />_ t3 -r x E 3 5So � �Ac;�.�t..t�5� <br />-��►s�T�t. 1 <br />C i <br />G—tS-3 <br />l3'�`' <br />BTxE , 3550 €Xriz�c:A9t <br />I <br />��� <br />L`'•`' "� <br />-\I- <br />- �3'�`' <br />grx>E+TPK-C-, 3 SS-rPE>< D),�zA <br />Sin Les e, :�. 9 47-2 ti: 0 3 ,� G 7 � >�!� l/ �> 7 All D ,� % . 0V &-1- fi,v.a-2-A' <br />Speciallnurucuon%, omrne^t, <br />Sample Condttr.n L, • •n Receipt <br />ExpectudAnalytiralT,.rn•.Around Times: <br />Laboratory Disposition: Sect: <br />I = Immediate 41ter"um: 2 = Rush: 3 = St,ndard: i = Standard: \ Storage Refngerwor IU -/3 Yes <br />24 hour, 4R Noun i Week <br />weeks J Storage Freezer ID__No _ <br />McLaren Analytical Laboratory 11101 White Rock Road, Rancho Cordova, CA 95670 916,638.$ <br />