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CLS - Labs CHAIN OF CUSTODY CLS ID No.; Cmcmcr LOG NO. 32512 <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> NAME AND ADDRESS <br /> C <br /> N <br /> Rkod 56,41, <br /> �cl . DESTINATION LABORATORY <br /> �,J<R. <br /> acro n,e^fs CA, tilS'6`1/ CLS (916) 638-7301 <br /> P MAMA ER prypNE# 3249 FITZGERALD RD. m <br /> 70 <br /> Ae. RANCHO CORDOVA,CA. (p COMPOSITE: <br /> PROJ E r 95742 RI /- <br /> SAMPLED BY ❑ OTHER ~ ro✓a <br /> JOB DESCRIPTION/., / 7 < <br /> CO) TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LOCATION // 1 <br /> DATE TIME SAMPLE CONTAINER N -o «o o 0 0 <br /> IDENTIFICATION MATRIX NO. TYPE <br /> X <br /> X x X X <br /> X x X <br /> r <br /> X x X <br /> m <br /> INVOICE TO: <br /> P.O.#X56 96 <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENDON TIME REL <br /> PRESERVATNES: (7)HCL (3)=COLD <br /> (2)HNO3 (4) <br /> RELINOUI ED BY(SIGN) PRINT NAME/COMPANY DATE/TIME RECEIVED BY(SIGN) PRINT NAME/COMPANY <br /> /" 04 <br /> .� I CONDITIONS/COMMENTS: <br /> S IPPED BY: EFEDX UPS OTHER AIR BILL# <br />