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CLS - Labs CHAIN OF CUSTODY CLS ID No.; 94a LOG NO. 17355 <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> NAME AND ADDRESS /'•�S t9 I O O <br /> t � <br /> Q{=7S Ct Ptl Af, I DESTINATION LABORATORY V <br /> V,.,J, GO fd c r� C A `��(e7 o LS (916) 636-7301 <br /> PROJECT MANAGER # PHONE# 32 FITZGERALD RD. m <br /> ` <br /> 1� .eR, 41-7-85 -%R00 RANCHO CORDOVA,CA. (A `l. COMPOSITE: <br /> PROJECT NAME �- 95742 m <br /> 3 lrAc M <br /> SAMPLED BY <br /> OTHER < <br /> t ,- <br /> JOBDESCRIPTON o <br /> S0 <br /> `I d6ntA Go <br /> TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SRE LOCATION LI�� ,. D� N <br /> SAMPLE CONITAINER <br /> 52 <br /> DATE TIME <br /> IDENTIFICATION <br /> MATRIX NO. TYPE u0 I r O SB-mss ,O <br /> 1� to0 0$50 �- I - 10 S I <br /> 156-2--1 <br /> LD e�LS <br /> at 5 - - 5 � _' <br /> I6 ja56-Lf-q WI Lp <br /> 0S� S e2 - 4-11e� inG�ucc2 <br /> MT 6 s= t'1-1-3 T2(o0 <br /> INVOICE TO: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TME PRESERVATIV (1)HCL (3)=COLD <br /> (2)HNO� (4) <br /> RELINQUISHED BY(SIGN) PRINT NAME/COMPANY DATE/TIME EC PRINT NAME/COMP NY <br /> I6-&- dee s sl d I04S Jq CLX <br /> RECD BYDATE/TIME: C COMMENTS: <br /> O I <br /> SHIPPED BY: FED X UPS � OTHER AIR BILL# <br />