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003364 <br /> Mggrmern CHAIN OF CUSTODY RECORD <br /> Sampler aa, Date Shipped Camer <br /> Telephone Airbill Number Cooler <br /> SHIP tO SEND RESULTS TO <br /> McLaren Analytical Laboratory } <br /> 11101 White Rock Road Client Name F <br /> Rancho Cordova,CA 95670 <br /> (916)638-3696 Company <br /> Address <br /> Phone <br /> PROJECTNAME- t c PROJECT#. <br /> LABORATORY PROJECT(LP)# PO # <br /> Relinquished by is,p..ei Received by (sgtnarumi Date Time <br /> Relinquished by ISignsium! Receiv is _t Date Time <br /> 3,5 <br /> Relinquished by (signaium) Receiv� ab y i ' =u 1 � Date Time <br /> AI/ !f / +{�a <br /> ANALYSIS REQUEST <br /> Sample ID Sample Type of Number of <br /> Number Description Date/Time Analysis Requested TAT Container Containers Lab ID <br /> 40 "G I 1 til . tolM b TBWA) T _ y�� 72/f3 <br /> 7, a <br /> �v <br /> Special InstructionslComments <br /> t LIS <br /> � �� rircLl � <br /> Sample Condition Upon Receipt } J <br />• Expected Analytical Turn-Around TiiiteS �_r <br /> Laboratory Disposition Secured <br /> I=Immediate Attention 2=Rush 3=Standa 4=Standard Storage Refrigerator ID -d Yes V <br /> 24 hours 48 hours I week 2 weeks Storage Freezer ID No <br /> McLaren Analytical Laboratory 11101 White Rock Road,RAncho Cordova,CA 95670 916.638.3696 <br />