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f 3MpLqren <br />6�'P- Lam'erfc <br />Sampler. < '� /--//es :: -V <br />Telephom6 /4,� 4g6,2-4541 <br />SHIP TO: <br />McLaren Analytical Laboratory <br />11101 White Rock Road <br />Rancho Cordova, CA 95670 <br />(916)638-3696 <br />M <br />0020n4 <br />CHAIN OF CUSTODY RECORD <br />Date Shipped: Carrier: <br />Airbill Number: Cooler. <br />SEND RESULTS TO: 6 Ee !9X' 66'7 �'r'x <br />Client Name: <br />Company: iti Oc {torn G-/—rey%�Pr/f <br />Address: /A?L E OC4ilr<'^ S/ <br />Phone: ylc CO <br />PROJECTNAME: L4&1 664 PROJECT#: <br />LABORATORY PROJECT (LP) #: P.O. #: <br />Relinquished by: i Received by:rs�14AAK -/ e: �c/G/dy Time: <br />aia .w I rce(:etveavy: csir.w—) <br />(sir —) KMervea at iaD Dy: <br />Sample ID <br />Sample <br />T.A.T. Container <br />Number <br />Description <br />Date/rime <br />!o/s sy <br />/o//4 , r <br />�G-S <br />So: <br />/4s�li <br />is /5/E9 <br />Special Instructions/Comments: <br />`Sample Condition Upon Receipt n <br />ANALYSIS REQUEST <br />Requested <br />563-'XJC, TF4, Fog <br />Type of <br />Numberof <br />T.A.T. Container <br />Containers <br />mss <br />Laboratory Disposition: Secured: <br />I=Immediate Attention: =Rush: 3=Standard: 4=Standard: Storage Refrigerator IR yes <br />24 hours 48 h I week 2 weeks Storage Freezer ID No — <br />McLaren Analytical Laboratory 11101 White Rock Road, Rancho Cordova, CA 95670 916.638.3696 <br />Lab ID <br />