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I <br /> CLS - Labs CHAIN OF CUSTODY CLS ID No.• o2s <br /> � - " LOGNo.11759 <br /> REPORT TO: CLIENJRA <br /> MAN'A REQUESTED FIELD CONDITIONS: <br /> NAME AND ADDRESS <br /> ra� � �DESTINATRYCLS 301 ROJECT MANAGE PHONE# 3249 FI .RANCHA. COMPOSITE: <br /> PROJECT NAME5742 <br /> SAMPLED BY �L 4' ❑ OTHER C �, <br /> JOB DESCRIPTION <br /> firfi � <br /> SITE LOCATION I K TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> DATE TIME SAMPLE CONTAINER o `�'o q o <br /> IpENTIFlCATI MATRIX NO. TYPE <br /> 1� 3 <br /> a <br /> 4 <br /> INVOICE TO: <br /> P.O.# <br /> SUSPECTED CONSTITUENTS QUOTE# <br /> SAMPLE RETENTION TIME PRESERVATIVES: (1)HCL 0)=COLD <br /> ELIN HED BY SIGN (2)HNO, (4) <br /> ) PRINT NAME 1 COMPANY DATE/TIME RECEIVED BY(SIGN) PRINT NAME/COMPANY <br /> UAr —A e,6 (c ao to <br /> RECD AT <br /> DATE/TIME: CONDITIONS/COMMENTS: <br /> SHIPPED k_ ❑ FED X ❑ UPS ❑ OTF;" AIR BILL# <br />