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_ �5 ti •wIAV. <br /> McLaren Analytical Laboratory o 40 <br /> Ghana of Custody Record <br /> l' <br /> PROJECT DESIGNATION a 0 3 SAMPLES TAKEN By:. %, f <br /> SAMPLE TYPE <br /> AREA SAMPLE LOCATION DATE TIME WATER SOiL SAMPLE TYPE ANALYSIS <br /> COMP GRAB NO, CONTAINER(S) REQUIRED <br /> �nJ ZEZ rj. <br /> F L7 <br /> �rG3 /lL,7( r �' 6 1 1; !`�(0 x f/w'4-?1r CV s" Y�_.✓ zrP <br /> VT' <br /> Ili 4 I MOD <br /> FIELD DISPOSITION: <br /> IMMEDIATE DELIVERY❑ <br /> I ST0RAGED REFRIGERATOR❑ ID SECURED CjYES <br /> j FREEZER El ID ❑NO <br /> RELINQUISHED BY:' RECEIVED BY:' DATE/TIME <br /> RELIN{jU1. ED B ' �1 7 RECEIVED BY. D{ATElT1ME <br /> RECEIVED FOR DATE!T1ME <br /> f TROD OF SHIPMENT: <br /> LABORATORY DISPOSITION: SAMpQ E �ifp���*� <br /> IMMEDIATE ANALYSIS❑ I1� GOL FMIVED REF P,IGERATORCID SECURED <br /> 1� <br /> FREEZER ❑ ID ❑ ❑ <br /> CABINET ❑ ID YES NO <br /> PRINT NAME AFTER SIGNATURE <br /> MC <br /> iaren Environmental Engineering <br /> 11101 White Rock Road.Rancho Cordova,CA 95670 (916)638.3696 <br />