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CLS - L( ,S CHAIN OF CUSTODY CLS ID No.; �-���z LOG NO. c- 3117 <br /> REPORT TO' CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> r <br /> NAME AND DDRESS E m <br /> DESTINATION LABORATORY <br /> CLS (916) 638-7301 m <br /> 3249 FITZGERALD RD. <br /> PROJECT ANAGER C I PHONE# RANCHO CORDOVA,CA. (/) COMPOSITE: <br /> PROJECT NA [ 95742 111 <br /> SAMPLED ❑ OTHER n <br /> JOB DESCRIPTION X W <br /> N ,\ Q2) TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LOCATI q cS� <br /> c (.0 F-g(ttz:❑:DATE TIMECl <br /> SAMPLE CONTAINER <br /> IDENTIFICATION MATRIX NO. TYPE <br /> 3� o �(3o V✓r��- ��s� 3 vim- � <br /> RECEIV <br /> ED <br /> m <br /> APR <br /> INVOICE TO: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES: (1)HCL (3)=COLD <br /> (2)HNO3 (4) <br /> IN UISH Y(SIGN) PR T NAME/COMPANY ATE TIME R CEIV Y(SIGI) PRINT NAME/COMPANY <br /> ® .r <br /> RECD AT LAB BY 7DATE/TIME: CONDITIONS/COMMENTS: <br /> SHIPPED BY: UPS OTHER AIR BILL# <br />