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9a <br /> r � rel h A <br /> 41 I 'L <br /> rSn <br /> ��g- == CHAIN OF CUSTODY RECORD <br /> �h , Spt�zS S o 17q e r"1 <br /> �.._ Sampler: �' Date Shipped: :artier..._ <br /> �r <br /> Tclephonr: ''G Airbdl ti'mnhcc <br /> SHIP TD:McLaren <br /> RESULTST():cLaren Analytical Laboratory z rra�Srz- OCT <br /> I l 101 White Ruck Road Client Name: <br /> Rancho Cordova.CA 95670 ENU <br /> (9161638-3696 <br /> Company: PERMjT;- l VICFA TH <br /> Addr:ss <br /> Phone: <br /> PROJECT NAME: —e hATV'%A : PROJECT#: 37�cJt - yy3 <br /> LABORATORY PRO.1ECT ILP)ft: , „r P.O.#. <br /> Relinqutshedby:&,-- Rereivedby:,s,,—.. Dare: <br /> Rcl€nqurshedby: s,:n--vf Reccivedby:s,F-- Dare: Time: <br /> Relinywshedby:,i,. ,— Datc: Timc: <br /> ANALYSIS REQUEST <br /> Sample ID Sample Type of Number of <br /> Number Deacnption DalefTime Analysis Requested T.A.I. Container Containcm Lab ID <br /> -3760l <br /> .a3o I <br /> J 7 4 Ua <br /> u7r If [ <br /> rJ7G,J't <br /> I <br /> �o74vti v.�+-7 ['r"rcfL TPS /� �� trai + x/;711 <br /> SPn� <br /> rJ7(oJ7 <br /> /J7(a JJ <br /> Special Insrructiva+iGtmment%: f - <br /> Lair rJrwa� i7A1 G},.a.rc.0 <br /> Sample Condition Upon Receipt: [� q t^ '`C ti? f4e"I =. N• ' rc� F q_h q <br /> FzpMedAnalytical Turn•Aroun Times: <br /> Camra er DisposiID Secured: . <br /> 1=Immediate Attention: 2=Rush: (\\\-�-Standard: 1 4 a Standard: Storage Aefrie[ralor ID Yrs <br /> 24 hours a8 hours I wetk ?weeks Storage Freezer ID — Nn.� <br /> McLaren Analytical Laboratory 11101 White Bock Road,Rancho Cordova,CA 95670 915.638.3696 <br /> M_ G"1'ION Or THIS <br /> UE, RUTDWCANNOT <br /> IMPROVED DUE To � <br /> ITI Or- THE CHIGI L <br />