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McLaren Analytical Laboratory 2 0 5 6 10 <br /> Chain of Custody Record <br /> �!!•✓l"'•r / �"r�'r'rOvrz �! �I�IG��1A�.til(.�rrr <br /> PROJECT DESIGNATION 03 SAMPLES TAKEN BY:' I/! <br /> SAMPLFTYPE <br /> AREA SAMPLE LOCATION DATE TIME WATER SOIL SAMPLE TYPE <br /> COMP GRAB NO. CONTAINER(S) <br /> Mw5-3 t��E 2 1 C S <br /> 10 L <br /> w5- �,'J!/{t^/+• 1 'ECJ <br /> I <br /> FIELD DISPOSITION: <br /> IMMEDIATE DELIVERY❑ <br /> STORAGE❑ REFRIGERATOR❑ ID SECURED ❑YES y <br /> FREEZER I] 10— ❑NO <br /> RELINQUISH BY:' R77" <br /> BY;, <br /> ��� �L .r .y DAT IME <br /> RELINQFlI D v� r !�'ri�c� RECEIVED8Y:' ' DATErrim- <br /> E 1�U <br /> RECEIVED F R LABORATORY BY:' <br /> DATE,TIME <br /> 1"Ot 1 ?Ilr1 �•l�ti + II 7 7? ! 1 { ;{i <br /> METHOD OF SHIPVEN <br /> fly•., �� ,�f I�a�� d <br /> LABORATORY DISPOSITION: <br /> SA <br /> p g , <br /> IMMEDIATE ANALYSIS❑ �x OL' 1EC;EjV�Q <br /> 'Y REFRIGERATOR❑ ID SECURED <br /> OD Go�p� `j0r( FREEZER Q ID f] ❑ <br /> CABINET ❑ ID_.._ YES NO <br /> 'PRINT NAME AFTER SIGNATURE <br /> McLaren Environmental Engineering <br /> 11101 While hock Road,Rancho Cordova,CA 95670 (916)638-3696 <br />