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CLS - V )s CHAIN OF CUSTODY( CLS ID No.; T52.05— LOG NO. 17 7 8 ~ <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> NAME ANDA RESS dG cop- ,, Oo <br /> It DESTINATION LABORATORY <br /> CLS (916) 638-7301 <br /> PROJECT ANAGER PHONE# 3249 FITZGERALD RD. m COMPOSITE: <br /> RANCHO CORDOVA,CA. U) <br /> PROJECT NAME 95742 m <br /> m <br /> SAMPLED ❑ OTHER D <br /> , X CL <br /> JOB DESCRIPTION <br /> C <br /> m TURN AROU TIME SPECIAL INSTRUCTIONS <br /> N <br /> SITE LOCATION CTAJ <br /> DATE TIME SAMPLE CONTAINER o N o c lo <br /> IDENTIFICATION MATRIX NO. TYPE <br /> ys It tilJul, u s It p 3 �ti c x X X <br /> cr <br /> INVOICE TO: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES: (1)HCL (3)=COLD <br /> (2)HNO 9 (4) <br /> INQ ISHED Y(SIGN) P INT NAME/COM NY DATE/TIMEREC IVED B ( GN) / PRINT NAME/COMPANY �/ n <br /> ( • AOS O AJ 'e r [.d Q `��' fie' 'r d\�- �C�J <br /> J <br /> RE A BY: D E T E' l O ) CONDITIONS/COMMENTS: <br /> SHI PED ❑ FED X ❑ U V/J LA OTHER _ AIR BILL# <br />