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California L gyratory Services CHAIN OF CUSTODY ;C) CLS ID No.- PIS LOG NO. 2C, 33 <br /> .REPORT CLIENT J08 NUMBER FIELD CONDITIONS: <br /> AODREss YYl7 l K-c, mmmfMZ <br /> 4 r� DESTINATION LABORATORY m ,-LQ <br /> tY ��I�S VCLS (1316) 638-7301 N �U <br /> f \,3249 FITZGERALD RD. m <br /> �a <br /> PROJECT MANAGER-rr- RANCHO GORDOVA,CA <br /> � ! PH #fD�O� COMPOSITE: <br /> ��J <br /> 95742 C <br /> PROJECT NAME r� > <br /> SAMPLED BY r ❑ OTHER Z <br /> JOB DESCRIPTION W <br /> AROUNDTURN <br /> I <br /> SITE LOCATION <br /> .:.r .t aM J } } } o} <br /> CONTAINER C, N +- <br /> II. <br /> ` • NO TYPE <br /> r6 :a 13 \IQl l L �3X <br /> v )Z3 v y w� vl/ 2 �fuclix <br /> INVOICE T0: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES: (1) HCL (3) COLD <br /> (2) HNO3 (q) <br /> RELINQUISHEDDATE TIME RECEIVED BY(SIGN) PRINT NAME'/COMPANY. <br /> NJ <br /> RECD AT LA BATE I TME: CONDITIONS I COMMENTS: <br /> IJ- M <br /> SHIPPED VIA Z FED X UPS OTHER- AIR BILL # <br />