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( ` ALIFORNIA ABORATORY ' ERVICES CHAIN OF CUSTODY CLS ID . NO . L11 b1l ( of ) <br /> Report Too Client Job Number ANALYSIS REQUESTED <br /> GEOTRACKER <br /> Name and Address <br /> A lied Aerospace 0 EDF REPORT ❑ YES ❑ NO <br /> Destination Laboratory <br /> GLOBAL ID. <br /> -v <br /> (916) 638 -7301 m <br /> Project Manager <br /> Lon Kitagawa 3249 Fitzgerald Road � <br /> Project Name Rancho Cordova, CA � FIELD CONDITIONS : <br /> Tiered Permitting 95742 <br /> Sampled By Srtitti.� . cali6 �iretialaE� . cc; :x1 M <br /> COMPOSITE: <br /> Job Description ❑ OTHER <br /> Site Location TURNAROUND SPECIAL <br /> . TIME IN DAYS INSTRUCTIONS <br /> SAMPLE FIELD CONTAINER <br /> DATE TIME IDENTIFICATION ID. 172 10 <br /> MATRIX NO. TYPE <br /> piD Chromium Conversion (A) C WW 1 500ML- 2 X x <br /> Chromium Conversion (B) C WW 1 500mL-P 2 X x <br /> ( Chromium Conversion (C) C WW 1 500tnL-P 2 X x <br /> INVOICE TO: <br /> PO# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RT , VfION TIME P ERVATIVES ( I ) — HCL (3) = COLD <br /> (2) = HNO3 (4) = H2SO4 (5) = NaOH <br /> RELINQU SHE BY 9 i nature) PRINT NAME/COMPANY DATE/TIME SignajdQt NAME/COMPANY <br /> RECE D AT LWl( D CONDITIONS/CO MENTS : <br /> SHI ED sY: ED EX ❑ UPS OTH R � AIR BILL # <br />