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CLS - Labs CHAIN OF CUSTODY CLS ID No.; � LOG NO. 27961 <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS R VESTED FIELD CONDITIONS: <br /> NAME AND SS 1--S>-7 I f 1 Q <br /> TSS NC. lI F <br /> 0 5 Ip 7 3 PEtr F(,Qir— y ri? 11 V 0 DESTINATION LABORATORY �I <br /> �F � <br /> Q VNI CLS (916) 638-7341 m <br /> PRIOJECT AGER PHONE# 3249 FITZGERALD RD. m �. <br /> f7� - 53..1 8 w RANCHO CORDOVA,CA. N -� �--- COMPOSITE: <br /> PROJECT 95742 m <br /> SAMPLED BY 7D'J ❑ OTHERtl�oq n W <br /> Jae oESCRIPrI°r� V] <br /> T N O 3 V \.0TURN AROUND TIME SPECIAL INSTRUCTIONS V* <br /> SITE]L-O AT!(c]!� �} r ./ tl 7c m <br /> W �J ?Cl tk�. 14yk�►�VG cS`-'�� �x• rKT� f4�5�E.� <br /> SAMPLE CONTAINER !( a ❑ ❑ ❑ "❑ <br /> 94 <br /> DATE. TIME IDENTIFICATION MATRIX NO. TYPE <br /> n y Vila �U- 4049Tw _W\+sErS <br /> tcq —1 0 <br /> r T,dE NP SS-3-196 a FFA <br /> 09�' 54-1�ays � <br /> 1114V 56, 2-11D' <br /> ll <br /> LavO <br /> 1535' S6 - 3-0-m <br /> ,L <br /> ScQ —i —�gS ' <br /> I QO 7 J�j+ � '�' X INVOICE TO.' r <br /> PO.# <br /> QUOTE a <br /> SUSPECTED CONSTIT ECNTS SAMPLE RETENTION TIME PRESERVATIVES: (1)HCL (3)=COLD <br /> �LZ�icTYyt l��4QQQ(,�}yG+Bcrlr$C$/}E�N 0!L !�I1 .SRA7�j,� (2)HNO (4) <br /> RELINQUISHED BY(SIGN) PRINT NAME 1 COMPANY DATE 1 TIME RECE D BY(SIGN) RINT NAME/COMPANY <br /> Ll <br /> �7r-7TArQn1-S INC <br /> j RECD A B DATE I TIME: - - <br /> CON0ITION51 COMMENTS: <br /> 1013( 03 JZ -'oC.7 <br /> SHIPPED BY: 1 ❑ FED X �-- ❑ UPS OTHER �`�� �Ets✓E2S,o � AIR BILL# <br />