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,0 �/jA� 3 5 5 i7 <br /> MggLren CHAIN OF CUSTODY`RECORD <br /> Sampler Date Shipped Carrier <br /> Telephone Airbill Number Cooler <br /> SHIP TO SEND RESULTS TO <br /> McLaren Analytical Laboratory Client Name <br /> I 1 101 White Rock Road <br /> Rancho Cordova CA 95670 <br /> (916)638-3696 Company <br /> Address <br /> Phone <br /> PROJECT NAME E r' PROJECT# <br /> LABORATORY PROJECT(LP)# P O # <br /> Relinquished by (Sly a,um, Received by [Srgnamrc) Date Time <br /> Relinquished by ts,gna,urc) Received by (S,gna,um) Date Time <br /> Relmquished by Mgnatum) Received at lab by ts,gmmmi Date Time <br /> 1,7 <br /> ANALYSIS REQUEST <br /> Sample ID Sample Type of Number of <br /> Number Description Date/Time Analysts Requested TAT Container Containers Lab ID <br /> 4 <br /> Special Instructions/Comments f 1 <br /> r ` I f <br /> Sample Condition Upon Receipt <br /> i <br /> Expected Analytical Turn-Around Times <br /> Laboratory Disposition Secured I <br /> I=Immediate Attention 2=Rush 3=Standard 4=Standard Storage Refrigerator ID Yes _ <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 />