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IJV 95 <br /> California L-�;�;joratory Services CHAIN 0 F CUSTODY , CLS ID No.: 13 LOG NO. <br /> REPORO: FIELD CONDITIONS: <br /> T T <br /> ADDRESS <br /> MADISJA DESTINATION LABORATORY <br /> -j Avc M <br /> 0"5rl(-" 'm CLS (916) 638-7301 0 <br /> PROJECT M GER <br /> PHONEM 3249 FITZGERALD Ra m <br /> LA we HtL RANCHO CORDOVA, CA COMPOSITE: <br /> PROJECT NAM%(LS 95742 < <br /> pt <br /> -TfLoLcUm <br /> SAMPLED BY ❑ OTHER R <br /> NJOB DESCRIPTION (1) <br /> ZZ, <br /> I.-.TL AR .UNP.T11 E i': SPECIAL INSTRUCTIONS.: <br /> SITE LOCATION <br /> >g '>'i >g <br /> DATE TIME SAMPLECONTAINER <br /> IDENTIFICATION MATRIXN0. TYPEMIA C2� 1 S <br /> 6%oo Gi P-5@ ki I PAnc F3P T <br /> N 15, GP- Is-, <br /> p� Y-) <br /> INVOICE TO: <br /> P.O.h <br /> QUOTE 0 <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES: '(1) HCL (3) = COLD <br /> J2) HNO3 <br /> (4) <br /> RELINQUISHED BY(SIGN) PRINT NAME I CdMPANY� RECEIVED'BY(SIGN) <br /> OW I TIME:,i. <br /> PRINT NAME COMPANY <br /> T <br /> (d 11 - 79 <br /> RECO AT E I CONDITIONS j COMMENTS: <br /> SHIPPED VIA D/<ED X UPS OTHER AIR BILL # <br /> -------------------------------------------------- ------ - <br />