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CLS - Labs CHAIN OF CUSTODY CLS ID No.; *SN LOG NO. 54140 <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED <br /> GEOTRACKER: <br /> NAM AN �S v _ �S�c y7 _ v EDF REPORT ❑ YES ❑ NO <br /> CP 5-0 vs,F t2-1�-f ,a/� DESTINATION LABORATORY h <br /> SA (� Z£tS (916) 638-7301 2 GLOBAL ID: <br /> 3249 FITZGERALD RD. m 7 COMPOSITE: <br /> PR EOCT MANAGE PHON `r j RANCHO CORDOVA,CA. cl) <br /> PDCLIPMT NAME <br /> 95742 M Z <br /> SA PLED BY El OTHER n FIELD CONDITIONS: <br /> JOB DESCRIPTION �Q <br /> C <br /> N TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LOCATION ; to <br /> Q OJ r r r o r OR <br /> DATE TIME SAMPLE CONTAINER T° N o ALT. ID- <br /> IDENTIFICATION MATRIX NO. TYPE <br /> I 14 O t jc AHy <br /> L(5- 2- <br /> 17/ M w Z17/ cJ x a <br /> INVOICE TO: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS PRESERVATIVES: (1)HCL (3)=COLD (5)=HzSO, (7) <br /> (2)HNO3 (4)=NaOH (6)=Na2S20, <br /> RELINQUISHED BY(SIGN) PRINT NAME/COMPANY DATE/TIME RECEIVED BY(SIGN) PRINT NAME/COMPANY <br /> A',e4 <br /> RECD AT LAB BY: E(TIM CONDITIONS/COMMENTS: <br /> i <br /> SHIPPED B : ❑ FED X ❑ UPS ❑ OTHER AIR BILL# <br />