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go - •`�' ,'` - :fir _ _ = 3 3i r ;.s - x _ __ "a? <br /> .....re �+..,.,..�,�:,�:;>'( <br /> rr� <br /> CHAIN OF CUSTODY RECORD <br /> Sdrttplrr ` L ` Dare Shipped: Carver. <br /> Telephonr: <br /> ' :�irhsll Numter Cutler'. — <br /> SHIPTO: SEND RESULTS TO: <br /> McLarenAnalptical Laboratory <br /> !l iFll White Ruck Road Cliemlrame <br /> Rancho Cordova.CA 9M7(} <br /> Company: <br /> t916039.3696 <br /> Addre+s: <br /> Phone: <br /> PROJECTNANth: " ; a—"r's"ti PROJECTM <br /> LABORATORY PROJECTILPI#: 11 —7 11.O.9: <br /> Received hy:.sq-w..- Batt: Time; . <br /> Reliuqutahedby:,.%,,-, .t II" ! <br /> Received Time: <br /> Dale Time: <br /> Rcl i nquuhcd by:�+:�����•� <br /> Rrlinymtined by:-s--- <br /> RrcennlailabtsI': s�p�,nws P'le: fitne: <br /> ANALYSIS REQUEST <br /> Sample ID Sample Typc of Numher of <br /> Number Dc%cription Dale(fimc Analysi%Reque.sted T.A.T. Container Contamers Lab ID <br /> C) <br /> .r r <br /> ._ Vii, �•F�n!"ti �JL•''7�:0 1�- r .r_. .. .r '.? s <br /> I ' / •I T, <br /> �..� ,! .t it II •� <br /> z A1V� 'r'IL�J�1Jy7 �! Imo_ I -�� � `-7• <br /> 1 <br /> Special Ipecial Inetrusto l,%Xoinments: <br /> -;I • 'wt - t r;r ,=fZ 5 PAZ' ,»ir L.LL <br /> Sampic Condition Upon Receipt: <br /> Expected Analytical Turn-.Around Times: l <br /> Laboratory Disposition: ti Secured. <br /> 1=Immediate Aucntton: 2=Rush: 3=Standard: J-Standard: Storage Ref:ledrarQr ID Yes . <br /> 24 hours4R hours 1 week 2 weeks S[nrage Freezer ID Nu—' <br /> 51cLaren.4malyticai Laboratory 11101 White Rock Road,Rancho Cordova,CA 95670 916.638.9696 <br />