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1. 1 M1 1Al I <br /> t ' <br /> moo <br /> W c'ren CHAIN OF CUSTODY RECORD <br /> Sampler. �N 1!t 1) Date Shipped: R <br /> q // — - - pled:�� Carrier--A <br /> Telephone: e l h 4 32 r 6q 6 Airbill Number: Cooler. <br /> SHIP TO: ?)'V SEND RESULTS TO: <br /> McLaren Analytical Laboratory <br /> 11101 White Rock Road Client Name: �J 1 vim,—Tyn r r <br /> Rancho Cordova,CA 95670 <br /> (916)638-3696 Company:_ _rk by`dI- Q( I n T" <br /> Addn:ss:_Yi� � .��3�, �7 4—oa l h Ca!152'1 1— <br /> Phone: 1 7 `] 035-7 <br /> PROJECT NAME: It PROJECT#: <br /> LABOR ORY PROJECT(LP)#: S 7 P.O.#: <br /> Rol' by:is Received by:rsi�urci Date- Time• , I <br /> - 7-S- <br /> Relinquished by:!' i Received by:isirnmurc) Date: Time: <br /> Relinquished by:(sipum) Received at lal by:paismaurci Date: Time: <br /> ANALYSIS REQUEST <br /> Sample ID Sample Type of Number of <br /> Number Description Daie/rime Analysis Requested T.A.T. Container Containers Lab ID <br /> ltloqwPH -rrT, VT�XE_ <br /> , ) 31 -west <br /> V6 N <br /> 13JU <br /> Special Insiructions/Comments: <br /> Sample Condition Upon Receipt: t RECEIVED MAY 2 Q 1995 <br /> Expected Analytical Turn-Around Times: <br /> Laboratory Disposition, _ Secured: <br /> 1=Immediate Attention: 2=Rush: 3=Standard: (f2tDwecks <br /> Storage Refrigerator ID t - 1 Yes <br /> 24 hours 48 hewn 1 week Storage Freezer ID No_ <br /> McLaren Analytical Laboratory 11101 White Rock Road,Rancho Cordova,CA 95670 816.638.3696 <br />