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CLS - Lts <br /> CHAIN OF CUSTODY CLS ID No , C40 <br /> LOG NO. 37950 <br /> REPORT TO' CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS <br /> D ADD ss <br /> Q <br /> DESTINATION LABORATORY <br /> j' G <br /> 11 CLS (916) 638.7301 <br /> pE MAMAOER PHONE# 3249 FITZGERALD RD m O COMPOSITE <br /> RANCHO CORDOVA,CA {/� <br /> �P ' <br /> PRo,E r e �� 7— <br /> SAMPLED <br /> e5742 <br /> SAMPLEDBY6 A f ❑ OTHER <br /> JOB DESCRYION , <br /> m TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LocATIoN� <br /> 6 } a <br /> DATE IME SAMPLE CONTAINER >c N <br /> IDENTIFICATION� MATRIX NO TYPE� O AKZ U /7�/ Q 1 A <br /> /41 <br /> INVOICE TO <br /> PO d <br /> QUOTE A <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES (1)HCL (3)..COLD <br /> (2)HNO, 14) <br /> RELINQUISHED BY(SIGN) PRINT NAME/COMPANY DATE/TIME RECEIVED BY(SIGN) PRINT NAME/COMPANY <br /> S L.,4 onZa E Y 'a3 1754 <br /> RECD AT LAB BY DATE!TIME CONDITIONS!COMMENTS <br /> 3 Z[b 3 1—+S-O <br /> SHIPPED BY FED X ❑ UPS ❑ OTHER AIR BILL# <br />