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ALIFORNIAABORATORY r ERVICES CHAIN OF CUSTODY CLS ID. NO. hof_) <br /> .a <br /> Report REQUESTED To: Client Job Number ANALYSIS RE <br /> 4 GEOTRActcER <br /> Name and Address c. <br /> Applied Aerospace y EDF REPORT ❑ YES ❑ No <br /> Destination Laboratory r° <br /> N GLOBAL ID. <br /> �r7 <br /> CIO <br /> (916) 638-7301 M <br /> Project Manager Cn <br /> Lon Kits awa 3249 Fitzgerald Road M -- <br /> s Rancho Cordova s <br /> Project Name � CA FIELD CONDITIONS; <br /> Hazardous Waste Determination 95742 <br /> SampledY B +�»`N'Calilorni.itill 11'C In M j <br /> Cn <br /> Job Description ❑ OTHER x COMPOSITE: <br /> CD <br /> ay <br /> C. <br /> Site Location O TURNAROUND SPECIAL <br /> . TIME IN DAYS INSTRUCTIONS <br /> SAMPLE FIELD CONTAINER <br /> DATE TIME IDENTIFICATION ID. 1 2 5 10 <br /> MATRIX NO. TYPE <br /> Liquid Hone C WW 1 IL-BR 3 X x <br /> Liquid Hone C WW 1 OOmL- 2 X x <br /> INVOICE TO: <br /> 1 <br /> -+4T i <br /> PO# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPL TENTION TIME PRESERVATIVES (1)=_HCL (3)=COLD <br /> (2)=HN =H,SO, (5)=NaOII <br /> RELINQ -S Y(Si- naiu ) PRINT NAME/COMP Y DATE/TIME CEIVED BY igna PRINT NAME/COMPANY <br /> RECEIVED AT LAB BY: DATE/TIME: CONDITI SICOMMENTS: <br /> SHIPPED BY: ❑ FED EX ❑ UPS OTHER ��- <br /> AIR BILL# <br />