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LYkIF3 r T <br /> � �� Z 003363 <br /> MgLqren01, a CHAIN OF CUSTODY RECORD <br /> Sampler aDate Shipped Carrier <br /> Telephone Airbill Number Cooler <br /> SHIP TO SEND RESULTS TO <br /> McLaren Analytical Laboratory 4, ( _ <br /> 1 L 101 White Rock Road Client Names"2" �► I �_ � ±_ �1 ! <br /> `Rancho Cordova,CA 95670 <br /> (916)638-3696 Company <br /> Address ?o <br /> Phone <br /> PROJECT NAME. PROJECT# <br /> L OR TORY PROJECT(LP) 2 3 3 6 P O # g <br /> It qui ed MInai Received by (sigmiun) Date Time _ <br /> 'N' ��/�3 I !7 o5_ <br /> Relinqu she . naiurc) Received by ts,,;"ur) Date Time <br /> Relinquished by ms..n<± Received lab ±sipnmun:) Date Time <br /> 1/I ln4n..i 10 /7 O <br /> ANALYSIS R EQUEST <br /> Sample ID Sample Type of Number of <br /> Number Description Date/TLme Analysis Requested TAT Container Containers Lab ID <br /> U <br /> c C_� 13 13, 5 i ` ; rld v ts.-/�6 <br /> 311�7/C�h � <br /> =T---�-- tot 131 2 70/70 2 <br /> 11 11 As 31973 V/7S� <br /> 13 f 176 17 <br /> W'74/60k f <br /> � 3 13'35 )MI93Xy ' <br /> !c 313 45 �l1LO R7 y0 <br /> Special Instructions/Comments �� ' ` ' `1 ~±c ±, r i 21�Tc ±± I + ,`/ C-r i` F rte r"& <br /> Sample Condition Upon Receipt �,] e1� n q� �� � y�, <br /> r1 V ! v` f*• <br /> Expected Analytical Turn Around Times <br /> t Laboratory Disposition Secured <br /> 1=Immediate Attention 2=Rush 3=Standard 4=Standard Storage Refrigerator ID q- 30 Yes v <br /> 24 hours 48 hours 1 week 2 weeks I Storage Freezer ID No <br /> McLaren Analytical Laboratory 11101 White Rock Road,Rancho Cordova, CA 95670 916 638 3696 <br />