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CLS - Lt )S CHAIN OF CUSTODY CLS ID No.; i:d p-75 LOG NO. 1(f 514 <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> NAME AND ADDRESS or(Doc(/ <br /> V '1 <br /> ✓e. t O/ DESTINATION LABORATORY �\ <br /> 10 <br /> zA-; r ' -CLS (916) 638-7301 m <br /> PROJECT MANAGER pNE _S N RALD m <br /> RAN <br /> L( RANCHOHOCORDOVA, COMPOSITE:CA. (/) ^ 1 <br /> PROJECT NAME 95742 m <br /> UDov- 2�tD t>°wvr\ m O N <br /> SAMPLED BY ❑ OTHER C) <br /> n r�,, <br /> JOB DESCRIPTION s �L � C <br /> w 9c,1 �. X <br /> N Q x TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LOCATION (� <br /> DATE TIME SAMPLE CONTAINER <br /> IDENTIFICATION MATRIX NO. TYPE <br /> IdI.D( Q2S, we0NOV 1- 5-7001 <br /> r1w- 2 <br /> 1100 rvxw -S <br /> II S mw - I <br /> n <br /> 123a ►rte -tel g <br /> 133o -2 <br /> I Ll I Muw- 2 <br /> '5 3 <br /> (CJ/1 5 INVOICE TO: <br /> 1--o D 10 p-W l3 <br /> �7 P.O.# <br /> - li <br /> 1Sr3 o m w--+ QUOTE# <br /> lk SLo 0 1 "n yj- '% <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES: (1)HCL (3)=C <br /> (2)HNO J (4) <br /> EL QUISHED (SIGN) PRI AME/COMPANY DATE/ IME RECEIVED BY(SIGN) PRINT NAME/C Y <br /> —�i4 - -- 1-7=�� ' <br /> So <br /> i" <br /> RECD T LA Y: DATE,/ I ^ CONDITIONS I COMMENTS: <br /> P FED X ❑ UPS/ �ov` OTHER AIR BILL# <br />