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CLS — Labs CHAIN OF CUSTODY CLS 1D No • LOG NO. 53818 <br /> CLIENT JOB NUMBER ANALYSIS REQUESTED <br /> FIELD CONDITIONS <br /> NAMEANDADDRESS CLL c to I <br /> �........ l <br /> DESTINATION LABORATORY <br /> R-CLS (916)638-7301 M <br /> 04 3249 FITZGERALD FID m N COMPOSITE <br /> PROJECT MANAGER ? PHO Eu RANCHO CORDOVA,CA N Ir d <br /> ti 1 4 r 95742 171 <br /> PROJECT NAME , C <br /> SAMPLED BY - ❑ OTHER <br /> JOB DESCRTURN IPTION C <br /> -• • <br /> TIME SPECIAL INSTRUCTIONS <br /> SITE LOCATION <br /> �DATE TIME <br /> SAMPLE <br /> CONTAINER <br /> IDENTIFICATIONNd TYPE117- <br /> r JrDI4 }ILL. � <br /> I � <br /> ><, <br /> 71 � Fl <br /> YV3 . W �� VO+4 0cd <br /> INVOICE TO <br /> I <br /> PO N , <br /> tQUOTEV <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES (1)HCL (3) =COLD <br /> (2)MN03 (4) <br /> • <br /> * <br /> REM13 DATE!T E <br /> CONDITIONS!COMMENTS <br /> t SHIPPED FED X UPS 07 -_ -_ A _ AIR BILL# <br />