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• n n r n <br /> MgLqren <br /> CHAIN OF CUSTODY RECORD <br /> Sampler: II Date Shipped: - , -- Cartier: <br /> Telephone: Airbill Number: Cooler: <br /> SHIP TO: SEND RESULTS TO: <br /> McLaren Analytical Laboratory _�t <br /> I 1 101 White Rock Road Client Name: .I i I, <br /> Rancho Cordova,CA 95670 <br /> (916)638-3696 Company: <br /> Address: <br /> Phone: <br /> �( •�a � "`(:rte' - � -'1=, U �=- t- <br /> PROJECT NAME: i, .�t;� I T .�l , v. 1���}�_�l_ PROJECT#: <br /> LABORATORY PROJECT(LP)#: )J P.O.#: <br /> Relini)aiSbed by:lsrre9'W,er .-•" Received by:Isignature, Date: II r _ y Time: 1 <br /> Relinquished by.tsfpoawco Received by:(sipamr) Date: Time: <br /> Relinquished by:(Stgnatumi Received t lab y:(si Date: Time: <br /> ANALYSIS REQUEST <br /> Sample 1D Sample Type of Numberof <br /> Number Description Dare/Time Analysis Requested T.A.T. Container Containers Lab ID <br /> LeRAVrt .X. '\i; Ic:CIO / <br /> TL4 FPR ,T <br /> ~ '7h _' c1�� �:u1 C: <br /> 7( <br /> C'�h 1c'rc cl r cl Tay, <br /> Ect--,i r,\CE 1 O j PH (- <br /> Special Instructions/Comments: I <br /> t,-\ Q <br /> Sample Condition Upon Receipt: <br /> Expected Analytical Turn-Around Times: <br /> Laboratory Disposition: Secured: <br /> 1=Immediate Attention: 2=Rush: 3=Standard: 4=Standard: Storage Refrigerator ID Yes _ <br /> 24 hours 48 hours I week 2 weeks Storage Freezer ID No_ <br /> McLaren Analytical Laboratory 11101 White Rock Road,Rancho Cordova,CA 95670 916.638.3696 <br />