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003364 <br /> MgLqr.en CHAIN OF CUSTODY RECORD <br /> Sampler Date Shipped Carrier <br /> Teleph$ne Airbill Number Cooler <br /> SHIP�6 ' ' ' SEND RESULTS TO <br /> McLaren Analytical Laboratory —z t <br /> 11101 White Rock Road Client Name _,r._ <br /> Rancho Cordova,CA 95670 <br /> (916)638-3696 Company <br /> Address <br /> Phone L-� 7� ti:J� ��t i 1� q%541 -63577 <br /> PROJECTNAME t c�ri PROJECT# <br /> LABORATORY PROJECT(LP)# _ Z 3 O P O # <br /> Relinquished by ts,paturei Receivedby ts,g-wcs Date T Time <br /> Relinquished by (s,z,,L.M) Receiv (s, MI I Dale Time <br /> �))1 �� <br /> Relinquished by cs pw..i Receive J <br /> ab y t ,u Date Time <br /> t o A!, <br /> ANALYSIS REQUEST <br /> Sample ID Sample Type of Numberof <br /> Number Description Date/Tame Analysts Requested TAT Container Containers Lab ID <br /> } <br /> I ii4Gvt ,oll VEX --gp `- <br /> ),r 1n t3 13' I )/wA G <br /> T <br /> 1<31 13 t 5 3 2-000/0)' 0) <br /> 10113 001 lid <br /> / , 4 <br /> i <br /> Special Instrucuons/Cgmments V� � U rte„ t } ;1 �G� .tet �Jj��,��N'` ve,�(]01 <br /> r ti I y a $ 1 l y•`� ,." 1 �� ��-C��Oh' �'�'a'�t <br /> Sample Condition Upon Receipt' <br /> A Expected Analytical Turn-Around Tues- <br /> i Laboratory Disposition Secured <br /> I=Immediate Attention 2=Rush 3=Standa 4=Standard Storage Refrigerator ID l 3� Yes k <br /> 24 hours 48 hours -----« . .1 meek ^ - 2 weeks Storage Freezer ID No <br /> " � w <br /> t <br /> McLaren Analytical Laboratory 11101 White Rock Road, RAncho Cordova, CA,95670 916 638 3696 1 <br />