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-•: Zr 34 <br /> I �� <br /> ---j. CHAIN OF CUSTODY RECORD <br /> Sampler: _ e-, Date tihipptd:_ Carrier. <br /> ,v�•r <br /> Telephone: _ AirhillI�umher: Cooler: <br /> ti11IP TO: SEND Rr.SULTS TO: <br /> McLaren Analytical Laboratory �, <br /> 11 101 Mite Rock Road Client name: <br /> Rancho Cordova.CA 95676 � �'fN1rV1CF1 <br /> Company: <br /> 19161638.3696 <br /> Address: <br /> Phone: <br /> PROJECTNAME: � -k3A%-' A PROJECTM -3-7 uJ-3 <br /> LABORA•rORYPRO.IECTILPIN: , ' P.O.#: <br /> Relinqutshe y: Rccctved Date:,/"/S o Time: <br /> RelingwJted by^-N.— Received by: Dale: Timc: <br /> Rel mqu+ncd by:�s������R� Received a!IaY�by:�sen.�.T, y Date: I tmr: <br /> ANALYSIS REQUFST <br /> Sample ID Sample Type of Numberof <br /> Number Dcuriptcon Dale/l•imc Analysis Requested T.A.T. Container Contamers Lab1D <br /> —_ /1Lscf � IL1 <br /> Vint f <br /> I <br /> j J7 <br /> !�[ .- f I ilk k y �P �� 1��, f y� IJ/-7 <br /> u7 <br /> VOA t <br /> la7�3t} <br /> Special lnstruai'anluComnxms:- <br /> b-c- <br /> c1-'0rY- *-e.� 1 <br /> Sample Condition Upon Rcceipt: — — <br /> Expected Analytical Turn-Around Timec: <br /> !Y'-•'— _ Laboratory Disposition: Secured: <br /> 1=immediate Attention: 2=Rush: 3=Standard: a=Standard: Storage Refrigerator ID Yet <br /> ]S hours 48 hours 1 wttk 3 weeks Storage Freezer ID— NO — <br /> McLaren Analytical Laboratory I1101 White Rock Road,Rancho Cordova,CA 95670 816.638.3696 <br /> TRIMU=ION OF THIS <br /> SUM C&%Vr BE <br /> IMPW�U) DUDE TO T <br /> CX Nt3ITION. OF TM 4 OINAL, <br />