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CLS - Labs CHAIN OF CUSTODY CLS ID No.; S5 b'12LOG NO. 17356 <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> NAMEANDADDRESS oDjn >_3 LJ-" .-I <br /> DESTINATION LABORATORY Q <br /> Gem\�oT.s t. 3o3S }�aL�C � <br /> - CaLdov C4- b 6 LS (916) 638-7301 M <br /> PROJECT MANAGER PHONE# 3249 FITZGERALD RD. m k COMPOSITE: <br /> RANCHO CORDOVA.CA. cn d <br /> PROJECT NAME 95742 ITI <br /> SAMPLED BY C <br /> M OTHER D <br /> JOB DESCRIPTION ��. -�-� > <br /> Wdexn Yl.f: M KJ�S'+'I- aA N TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SffE LOCATION ,A \ <br /> fl S SAMPLE <br /> '< �'< �'< o ACG.t Ni(T <br /> DATE TIME SAMPLE CONTAINER �jQ _ o o - <br /> IDENTIFICATION MATRIX NO. TYPE yQi - <br /> o of o S - I (D VOA <br /> 3 rl, <br /> I <br /> Amr er <br /> a�;J) -z - W 3 voA <br /> 3 <br /> J I g <br /> 10-3 or ,3 - W 3 V A- <br /> ._( INVOICE TO: <br /> y — vJ 3 Ung+ <br /> 31 1 X <br /> / P.O.# <br /> 17L �v <br /> QUOTE# <br /> SUSPECTED CONSTTTUENTS SAMPLE RETENTION TIME PRESERVA (1)HCL (3)=COLD <br /> (2)HNO� (q) <br /> R LINQUISHED BY(SIGN) PRINT NAME/COMPANY DATE/TIME i ECEIVED ( N) PRINT NAME/COMPANY <br /> GC�o 511 v 1 /fl S <1 CIS <br /> RECWHIPPEDBY.. �k <br /> DATE/TME: C ONS/COMMENTS: <br /> O :OkS ❑ UPS OTHER AIR BILL# <br />