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!� Z 003363 <br /> MpmnL� CHAIN OF CUSTODY RECORD <br /> Sampler fie <br /> lC, 7 "" Date Shipped Carrier <br /> Telephone Atrbdl Number Cooler <br /> SHIP TO SEND RESULTS TO <br /> McLaren Analytical Laboratory v1 1�1 <br /> 11101 White Rock Road Client Name <br /> Rancho Cordova,CA 95670 Company <br /> (916)638-3696 <br /> Address �� � � t l <br /> I <br /> Phone <br /> PROJECT NAME 1W PROJECT# <br /> Y <br /> L OR TORY PROJECT(LP) 6 P O # <br /> is.gmt ) Date Time <br /> h qui ed [Signet Received by + U <br /> Date Time <br /> Rshed gm <br /> nnml Received by cs,g�e+erci <br /> ehnqu <br /> Relinquished by (signaeual Received lab Mg-lum) + Date Time <br /> ANALYSIS REQUEST <br /> Sample ID Sample Type of Number of <br /> Analysis Requested TAT Container Containers Lab ID <br /> Number Description Date/mime Y q s111 <br /> 1 ov t O� 4 <br /> 319171(1 � 1 <br /> 1 — <br /> 1JH 13 lt] <br /> 197 77117 <br /> ,Jr <br /> `^I iZ13 I) 3� � <br /> 1 lujijl3 � i1 `� <br /> �L7 `Ire <br /> Special Instructions/Comments <br /> Sample Condition Upon Receipt <br />. Expected Analytical Turn-Around Times �;�_ Secured <br /> Laboratory Disposition <br /> 1=Immediate Attention 2=Rush 3=Standard 4=Standard Storage Refrigerator ID q+ 3 Yes <br /> 24 hours 48 hours I week a 2 weeks Storage Freezer ID No-- <br /> McLaren Analytical Laboratory 11101 White Rock Road,Rancho Cordova,CA 95670 816.638.3696 <br />