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CLS - Labs CHAIN OF CUSTODY CLS ID No.; LOG NO. 58584 <br /> REPORT TO: CLIENT JOB NUMBER TANALYSISEOUESTED FGLOB:AL <br /> KER:NAMEAN ADDREs� C—�JJ _ d r J I1va.- t°WORIzDESTINATION LABORATORYRT ❑ YES ❑ NO <br /> CLS (916) 638-7301 D:PROD ��Aryg�ER PPHp # 3249 FITZGERALD RD. m(�Cd" G3f- 45 -77y RANCHO CORDOVA,CA. U) ITE: <br /> E N4M Nom ,( 95742 ISR <br /> Ne�+r4r rJAS(A7 j'1 <br /> ❑ OTHER D FIELD CONDITIONS: <br /> JOB DESCRIPTION <br /> T�/ <br /> T2 /#LS �lliiN <br /> (p LJ TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SRE <br /> LOCATION <br /> Mw e SAY-�iW � «c ° <br /> DATE TIME AMPLE CONTAINER �1 M o a o y O o O OR <br /> IDENTIFICATIONMATRIX NO. TYPE ALT. ID: <br /> 7`AsWOO — P'Lfe�LIt I <br /> to ar S a.h Af r„/3� TSR r� a(rr, Z i- <br /> 1=3a <br /> INVOICE TO: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS PRESERVATIVES: (1)HCL p <br /> (2)HNOa (4)=OR (5)"Iso.NS. (n= <br /> (e)=N% a <br /> RELINOUISHED BY(SIGN) PRINT NAME/COMPANY DATE I RECEIVED BY(SIGN) PRINT NAME/COMPANY <br /> RECD AT LAB BY: DATE/11A1E��^�� CONDITIONS/COMMENTS: <br /> SHIPPED BY: E] FED X El ups Ct ❑ OTHE(((R/ AIR BILL# <br />