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Mmogren 002nP4 <br /> Gam,0M iM <br /> "r CHAIN OF CUS'T'ODY RECORD <br /> Sampler / pate ShippLd CarrierTelephone �'!a /G/eo2 ' ¢j Airbdl Nurntxr <br /> Cooler <br /> SHIPTO WNDRUSULTSTO t FCf (" t <br /> McLaren Analytical Laboratory / <br /> 1 101 White Rock Road Client Name ��'� 6i-, ,/ <br /> Rancho Cordova CA 95670 <br /> (916)638-3696 Company Vt, <br /> Address <br /> Phone C%o <br /> PROJECT NAME PROJECT# <br /> LABORATORY PROJECT(LP)# P O.# <br /> Relinquished by rsgyir—) ` Recenedhy s' 4/PK / Time <br /> Relmqutshed by is.MMt Received6y isipnrrei Date Time <br /> RrlinquisW by isignawri Rt_ceived at lab by is gnaiwr Date Time <br /> ANALYSIS REQUEST <br /> Sample ID Sample Type of Number of <br /> Number Description Date/Time ` Anal)sis Requested TAT Container Containers Lab 1D <br /> --- <br /> �. <br /> PL <br /> Special I nseruitions/Comnunt <br /> +� t <br /> Sam tL Condition Upon R«ei t <br /> p P P � <br /> Expected Al!'1-4.A�tun­d Ttmes <br /> Laboratory Disposition Secured <br /> ImMLdlatt Aii--imon ��=Rush I&Standard 4=Standard Storage Refrigerator ID ye-, <br /> 4 hour+ 48 hop t %wek W xis As Storage Freezer ID No <br /> McLaren Analytical Laboratory 11101 White Rock Road,Rancho Cordova,CA 95670 916 638 3696 <br />