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McLaren Analytical Laboratory 209933 <br /> Chain of Custody Record <br /> r�y SAMPLES TAKEN BY:' <br /> PROJECT DESIGNATION �- V�[. . <br /> SAMPLE TYPE <br /> AREA SAMPLE LOCATION DATE TIME WAFER SOIL SAMPLE TYPE ANALYST D <br /> COMP GRAB NO. CONTAINER(S) <br /> �V� t✓z�Ji- '�2 it4 �Y 1// /l.7VZ � cr /Y <br /> r zs�zr i <br /> 1 Ufb <br /> A a <br /> i <br /> FIELD DISPOSITION: <br /> IMMEDIATE DELIVERY 13 '��/� <br /> STORAGE❑ RErRIGERATOR 0 ID SECURED ❑YES I N <br /> FREEZER Q ID El NO _ <br /> RECEIVED BY:' yDATEJTIME <br /> RELINOUIS <br /> RECEIVED BY:' r r DATEMME <br /> RELINQUISHED BY:' <br /> DATErHME <br /> RECEIVED FOR LABORAjORY BY: <br /> METHOD OF SHIPMENT: <br /> LABORATORY DISPOSITION: ,y <br /> IMMEDIATE ANALYSIS❑ STORAGE❑ REFRIGERATOR ElI0, —s SECURED <br /> FREEZER 0 ID ❑ ❑ <br /> CABINET D ID YES NO <br /> i •PRINT NAME AFTER SIGNATURE <br /> 4 <br /> W McLaren Environmental Engineering <br /> 11101 White Rock Road,Rancho Cordova,CA 95G70 (916)638.3696 <br />