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Ml�IIgLqren 000219 <br /> CHAIN OF CUSTODY RECORD <br /> Sampler. E)( OV%[1nIr- Date Shipped: 3e ' tr1 - R9 Carrier: . I )�C�V1VyQ�!- <br /> Telephone: R --3L9 Airbill Number: <br /> Cooler <br /> SHIPTO: SEND RESULTS TO: <br /> McLaren Analytical Laboratory ��� <br /> G I 1101 White Rock Road Client Name: 4=N^ TI W1 <br /> Rancho Cordova,CA 95670 - <br /> (916)638-3696 Company: EQMinNt )Y'd�[{+ a�I-/1 i <br /> D <br /> Address:_I�t <br /> Phone: /� 9�1 <br /> PROJECT NAME: PROJECT#: <br /> LABORATORY PROJECT(LP)#: �� 7 P.O.#: <br /> i . <br /> Relinquished by:,s.,.,­, Received by:is,jum) Date: Time: <br /> Relinquished by:(srmtu2p Received by:isi�r„ai Date: Time: <br /> Re ed by:rslr'wum Received at la by:is�evm Date: Time: <br /> ANALYSISREQUEST / <br /> Sample ID Sample Type of Number of <br /> Number Description Date/time Analysis Requested T.A.T. Container Containers Lab ID <br /> 03P;osE"d �aT D TE PH 3 dTxF <br /> mac.+liN TQ.k li <br /> o3f��57TPP-63 P,7X TEL _ y <br /> �ov-f vTaoK _�_ ' `/Vp� 03 <br /> D5� T E PH ,, R-T E y os u <br /> Sou+ h "k —�-- <br /> 03�055 �5 704 RTXF T, L, EbJ) �_ 5VPo o9/n1 <br /> f <br /> i <br /> Special Instructions/Comments: A!5a les u_ Eere +o-vev\ Ql 1a Yee'1- ()T CA eVi t <br /> aSample Condition Upon Receipt: T�Tw <br /> I <br /> � r i{ <br /> Expected Analytical Turn-Around Times: Ota r9 <br /> 1=Immediate Attention: Disposition: Sec <br /> it <br /> 2=Rush: 3=Standard: 4=Standard: Storage Refrigerator ID Yes o <br /> 24 boors 48 hours I week - 2 weeks Storage Freeur ID No <br /> McLaren Analytical Laboratory ll lol White Rock Road,Rancho{Cordova,CA 95670 916.638.3696 <br />