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f, s : 9V9A71 <br /> McLaren Ana,ytical Laboratory <br /> . 710122 <br /> Chain of Custody Record <br /> 'z 177 <br /> PROJECT DESIGNATION S7(zJ SAMPLES TAKEN 9 <br /> �.J j Y:' • ! ' <br /> SAMPLE TYPE <br /> TYPE ANALYSES <br /> AREA SAMPLE LOCATION DATE TIME SOILSAMPLE REQUIRED <br /> F::W:pjATfqER <br /> OM1 NO. CONTAINER(S) <br /> yv A .1 L+CI — <br /> �t�,.�� M VJ^ p �7�v/.j4 l eiJJ q- I/✓3 E' U.(�I ff <br /> `r•°rt' I � � y <br /> 1 <br /> �I k �r,r8GIt3 <br /> ,11 `r I I I C /J41 LS C ,�x 1, <br /> l <br /> J06 'V7 gra <br /> f <br /> log(,Y4 i <br /> � Ir186 Yui <br /> FIELD DISPOSITION: <br /> IMMEDIATE DELIVERY N SECURED 4_1 YES <br /> STORAGE- REFRIGERATOR❑ ID. <br /> ❑NO <br /> FREEZER ❑ 1D ---- DATETIME <br /> RECEIVED BY'' <br /> RELlNOU[SHEDBY:'`,,h--� J. �aNi.1\v[S -7/p�y/�CL <br /> i i F DATEIFIME <br /> RECEIVED BY:• <br /> RELjNQuiSHED BY:• <br /> DATE/TIME <br /> RECEIVED FOR LABORATORY BY:' <br /> 'l. �.rrrf v'• <br /> 1 •f I 1 / <br /> �.��.!•Il�ff ! �LVf I!M_ <br /> METHOD OF SHIPMENT: /Yl LAI @ <br /> LABORATORY DISPOSITION: REFRIGERATOR❑ ID SECURED <br /> IMMEDIATE ANALYSIS Ll5TQRAGE d <br /> '�`_�_• FREEZER Ci ID ❑ ❑ <br /> CABINET ❑ 1D_ YES NO <br /> r <br /> PRINT NAME AFTER SIGNATURE <br /> McLaren Environmental Engineering <br /> 11101 White Rock Road,Rancho Cordova,CA 95670 (916)638-3695 <br /> T <br /> TM' REPROMUTION Or- THIS <br /> DQCLkM CANNOT BE <br /> IMPROM DUE TQ UE <br /> CONDITION Off' THE OR IGINAL <br />