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I <br /> 1 <br /> McLaren Analytical Laboratory 2 o s 5 3 g <br /> Chain of Custody Record <br /> � <br /> IV'�•�rJ <br /> ;6JECT DESIGNATIONLDATE <br /> SAMPLESTAKENAMPLETYPE -4 <br /> AREA SAMPLE LOCATIONTIME NATER SOIL SAMPLE TYPE ANALYSIS <br /> COMP GRAS NO. CONTAINERS Iq3 EQUIRED <br /> mw1 -30 <br /> 1L2� ✓ M�i�_U`1 rip ,j¢1' �-.�q")! !.+ <br /> FIELD DISPOSITION: <br /> v <br /> i IMMEDIATE DELIVERY❑ I <br /> STORAGE❑ REFRIGERATOR C3ID SECURED ❑YES <br /> FREEZER ❑ ID ❑NO <br /> 3 DATE/TIME <br /> RELINQUISHED)BY:' RECEIV D BY <br /> / vRECEIVED BY:' DATE/TIME <br /> RELI QUISH))ED BY:' <br /> f irL+� •'' �F�J�'�to+� DATErrIME <br /> HEC ENED F R LABORATORY BY:' �� r <br /> METHOD OF SHIPMENT: I :!r !. ,i . • . ,1/ �.r . <br /> LABORATORY DISPOSITION: SAMP�� <br /> IMMEDIATE ANALYSIS❑ <br /> 1N G0jDj)ie0ND1T10N REFRIGERATOR❑ ID SECURED <br /> FREEZER ❑ ID El ❑ <br /> CABINET ❑ ID YES NO <br /> PRINT NAME AFTER SIGNATURE <br /> McLaren Environmental Engineering <br /> 11101 White Rock Road, Rancho Cordova.CA 95670 (916)638-3696 <br />