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CLS - Labs CHAIN OF CUSTODY CLS ID No.; H PA—� LOG NO. 171565 ' <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED GEOTRACKER: <br /> NAME AND ADDRESS <br /> 00 DESTINATION LABORATORY EDF REPORT 1:1 YES 1:1 NO <br /> GLOBAL ID: <br /> 1111 <br /> 7 CLS (916) 638-7301 m <br /> 3249 FITZGERALD RD. m C1 COMPOSITE: <br /> PROJECT MANAGER PHONE# RANCHO CORDOVA,CA. (n <br /> ba <br /> PROJECT NAME 95742 M`V�i��`i►��►.r► R�N <br /> SAMPLED BY ❑ OTHER D FIELD CONDITIONS: <br /> JOB DESCRIPTION APE) 90 <br /> C ? G <br /> 1 <br /> m TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> ch <br /> SITE LOCATION OR <br /> SAMPLE CONTAINER � o N o "o 0 <br /> IDENTIFICATION MATRIX NO. TYPE ALT. ID: <br /> DATE TIME <br /> 23r i(,Z2 DAA <br /> rn m <br /> J <br /> INVOICE TO: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS PRESERVATIVES: (1)HC (3)=C OLD (5)=H2SO4 (7)_ <br /> ( )HN (4)=No, 6)=Na2S.O. <br /> RELINQUI ED Y(SIGN) IN AME/COMPANY DATE/TIME (SIGN) PRINT NAME/COMPANY <br /> 1. <br /> Al 1 <br /> RECD AT LAB BY: DATE/TIME L-CONDITIONS I COMMENT : <br /> r <br /> SHIPPED B : 7-_a_F'ED X j/ ❑ UPS OTHER AIR BILL# <br />