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CLS - Labs 2 � � � <br /> CHAIN OF CUSTODY CLS ID No.; TU(omp LOG NO. 3 6 3 2 0 <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> AND ADD yj rs EXOf.cor <br /> ' C <br /> S3irn✓o Z 4ve,. <br /> �1/D DESTINATION LABORATORY <br /> i✓ C h /} �S aK CLS (916) 638-7301 <br /> 3249....GERALD RD. m <br /> Pq TMANAOEgT PHON M COMPOSITE: <br /> Sly �J SCS S C7 O O RANCHO CORDOVA,9GA.57 cn <br /> M Q { <br /> P ECT NA 95742 m <br /> ED r 5,,4e- El <br /> SAMPLED BY �� �) <br /> JOB D RIPTION <br /> ✓J .Tki w% AO my <br /> TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LOCATION ^+i, a N a a o Q c S b :la <br /> DATE TIME ` SAMPLE CONTAINER <br /> IDENTIFICATION MATRIX NO. TYPE <br /> 26 02 0 �P-S e 30' Sc�I 1 7Hbc <br /> GP.SC ' <br /> -3 1 ' <br /> a ' <br /> 8 P- 30' 3 <br /> o GP- ' <br /> INVOICE TO: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS —/-�7�j SAMPLE RETENTION TME PRESERVATIVES: (1)HCL (3)=COLD <br /> / P� (2)HNO e NI <br /> RELINQUISHED BY(SIGNT PRINT NAME/COMPANY DATE/TIM§ CEIVED BY(SIGN) PRINT NAME/COMPANY <br /> ,Tor 3-Z7-0 <br /> T I-AB BM. D E: CONDITIONS I COMMENTS: <br /> I ED BY: ❑ FED X ❑ UPS OTHER AIR BILL# <br />