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FamL <br /> 1 <br /> McLaren Analytical Laboratory 206541 <br /> Chain Of Custody Record <br /> I`l7/ <br /> PROJECT DESIGNATION /0 a <br /> � —J `- SAM?LES TA EN BY/jj � <br /> SAMPLE TYPE <br /> AREA SAMPLE LOCATION DATE TIME WATER �^ <br /> COMPGRAB SOIL SAMPLE TYPE ANALYSIS <br /> NO. CONTAtNER(S) REQUIRED <br /> V I. l /l1lt�•�01 <br /> 1 l R I/!e <br /> f 1n <br /> r� i'S 1v k ljo 3`0 <br /> 201 ` <br /> i FIELD DISPOSITION: <br /> IMMEDIATE DELIVI=RY❑ <br /> I STORAGE❑ REFRIGERATOR 0 ID <br /> t ; <br /> FREEZER ❑ Ip SECURED Q YES <br /> RELINQUISHED BY:• ❑NO <br /> RECEIVED BY:• <br /> DATE)"nME <br /> REL)N HED <br /> RECEIVED BY:' <br /> DATEITIm- <br /> RECEIVED O <br /> DATE,TIME <br /> METHOD OF SHIPMENT: <br /> LABORATORY DISPOSI7lOh, ����� <br /> IMMEDIATE ANALYSIS❑ SAMPLES-RECEIVED <br /> f� GO�Dt i`-'ION REFRIGERATOR rj ID <br /> f SECURED <br /> FREEZER ❑ ID <br /> ❑ L7 <br /> 'PRINT NAME AFTER SIGNATURE CABINET ❑ ID <br /> YES NO <br /> ZEE <br /> McLaren Environmental Engineering <br /> 1 i <br /> 101 White Rock Road,Rancho Cordova,CA 9567D (9i6)639-3696 <br />