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CLS - Ls <br /> CHAIN OF CUSTODY CLS ID No.; bS�a LOG NO. 34348 <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> NAME AND ADDRESS O / �00 <br /> PO ENV r - CJIVN DEST ION[.LABORATORY <br /> f E S CLS (916) 638-7301 <br /> ____ <br /> PROJECT MANAGER PHO E# 3249 FITZGERALD RD. m , Cl)RANCHO CORDOVA,CA. cn COMPOSITE: <br /> PROJECT NAME 95742 M \3 - <br /> \ - <br /> N N . <br /> SAMPLED 9Y C ❑ OTHER n CSJ ) <br /> JOB DESCRIPTION I <br /> c l <br /> (rn/y TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LOCATION n `At <br /> � q� niQ n4 �4 <br /> DATE TIME SAMPLE CONTAINER � cn <br /> IDENTIFICATIONMATRIX NO, TYPE <br /> V44 #,4 M136 <br /> RES <br /> i <br /> INVOICE TO: <br /> i <br /> P.O.# <br /> LlQUOTE# <br /> SUSPECTED ONST3T NTS SAMPLE RETENTION TIME PRESERVATIVES: (1)HCL (3)=COLD <br /> (2)HNO s (4) <br /> RE L1NOU1 ED BY( N} PRINT NA E/COMPANY DATE TIME RECEI ED BY I N) PRINT NAME/COMPANY <br /> RECD AT LA BY: DAT 1 i` //, CONDITIONS 1 COMMENTS: <br /> SHIPPED BY: FED X ❑ UPS l/J/1 OTHER AIR BILL# <br />