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1. Emu <br /> =141Elll <br /> {rr <br /> McLaren f ly ice/ Laboratory P �� U!O <br /> 2056os <br /> s6 <br /> Chain of Custody Record Z"tz4� fur <br /> SAMPLES TAKEN BY:' <br /> PROJECT DESIGNATION �. AMPLETYPE <br /> TIME YI ER SAMPLE TYPE ANALYSIS <br /> AREA SAMPLE LOCATION DATE 501E COMP GRAB NO CONTAINER(S) REQUIRED <br /> E r <br /> %I q j <br /> G.lW�3 <br /> {Z /1S 1330 <br /> AA Lj <br /> FIELD DISPOSITION: <br /> IMMEDIATE DELIVERYCj SECURED DYES <br /> STORAGE^ REFRIGERATOR Cl ID- r;NO <br /> FREEZER El DATKIME <br /> REC tV1:D BY:' <br /> AELINQU EO 2 p � <br /> DATErIIME <br /> R CEIVEO$Y' <br /> RELINQUIS DDY:' <br /> �,- D TEfTIME <br /> RECEIVED FOR LABORATORY By'. �� f� : 06 C- <br /> 7 F SHIPMENT: <br /> LABORATORY DISI'OSSTION: SECURED <br /> STORAGE C7 REFRIGERATOR Q ID----�- <br /> IMMEDIATE ANALYSIS 0O C <br /> FREEZER D ID�--- <br /> CABINET 0 ID_ - <br /> YE5 MO <br /> PRINT NAME AFTER SIGNATURE <br /> McLaren Environmental Engineering 639 3696 <br /> 11101 White Rock Road,Rancho Cordova,CA 95670 (9t6) <br />