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• MggIren CHAIN OF CUSTODY RKORD <br /> Sampler: N �f�a h h n►/� Date Shipped: r ' l J + Carrier: Q N O <br /> Telephone:JC I t �l :7 r 1 —3t� / O Airbill Number: Cooler. - <br /> SNIP TO: �!O SEND RESULTS TO: <br /> McLaren Analytical Laboratory <br /> 11101 White Rock Road Client Name: J ►yN d r <br /> Rancho Cordova,CA 95670 _r6 dv,rD� Q " L <br /> (916)638-3696 Company: <br /> Address*,jtlftnYe X57 .LoCki 2, Co-95 1-11— <br /> Phone:_fa�q..., 3 .17'5 <br /> PROJECT NAME: a 3 PROJECT#: <br /> LABORATORY PROJECT(LP)M S 7 P.O.M <br /> RBI' y:iso Received by:isigmumi Date: Time r <br /> 11Y <br /> Relinquished by:s i Received by:(sig mum) Date: Time: <br /> Relinquished by:(sigw.) Received at la by:)?ig muai Date: Time: <br /> L 1 l✓1 Il 1 e <br /> ANALYSIS REQUEST <br /> Sample ID Sample Type of Number of <br /> Number Description Datelrime Analysis Requested T.A.T. Container Containers Lab ID <br /> D <br /> • i -Easfi ( �-r�N <br /> Alva! 31 1 _West <br /> i �- <br /> i, <br /> I <br /> 1 <br /> i <br /> Special Instructions/Comments: <br /> Sample Condition Upon Receipt: <br /> Expected Analytical Turn-Around Times: <br /> Laboratory Disposition. Secured: <br /> 1=Immediate Attention: 2=Rush: 3=Standard: (f2tw=eek, <br /> ard: Storage Refrigerator ID • t `1^ Yes <br /> 24 hours 48 hours I week Storage Freezer ID No_ <br /> McLaren Analytical Laboratory 11101 White Rock Road,Rancho Cordova,CA 88670 816.838.3686 <br />