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r <br /> u <br /> xi # F <br /> w. <br /> ------------- <br /> r <br /> s <br /> c <br /> McLaren Analytical Laboratory a <br /> -rJ <br /> Chain of Custodyi Record <br /> ENVIRONMENTAL HEALTH <br /> PERM�II,S�RViCF , <br /> r � <br /> SAMPLES TAKEN BY:' <br /> PROJECT DESIGNATION SpMPLETYPE -' <br /> WATER SAMPLE TYPE ANALYSIS <br /> AREA SAMPLELOCA7tON I DATE TIME SOIL NO GONTAINER(S) REQUIRED .F <br /> 41 GOMP�GRAB <br /> ypcl� �w- <br /> ;Por-<- <br /> 3-3 <br /> 0 d o FAL -t=i�if/C` -.y. . <br /> y 1084039 <br /> FIELD DISPOSITION: J�j ccft <br /> IMMEDIATE DELIVERY(!�- SECURED )r YES <br /> STORAGE 11- REFRIGERATOR F1 ID ENO <br /> FREEZER ID DATEITIME <br /> RECEIVED By:, <br /> RELINQUISHED BY:' <br /> DATEITIME <br /> RECEIVED BY:' <br /> RELINyIIfISHED BY:` l <br /> I DATE.MME <br /> RECEIVED FOR LABORATORY BY:' <br /> METHOD OF SHIPMENT.- <br /> LABORATORY <br /> HIPMENT:LABORATORY DISPOSITION: - SECURED <br /> STORAGE a REFRIGERATOR a ID <br /> IMMEDIATE ANALYSIS!: FREEZER ID C' G' <br /> ,4,�� r r�� mal YES NO <br /> � CABINET � iD�-- <br /> PRINT NAME AFTER SIGNATURE JJJ <br /> _ McLaren Environmental Engineering <br /> 11101 White Rock Road,Rancho Cordova,CA 95670 (916)638-3696 <br /> RURODUCTION OF THIS <br /> DOCUvM <br /> CANWN BE <br /> IMPROM DUE 1O THE <br /> CON]ITioN or, TRE ORIGINAL <br />