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California Laboratory <br />CHAIN OF CUSTODY <br />CLS ID No.: A016q _ <br />LOG NO. 32086 <br />REPORT TO:• ° <br />ITAff- �R W FA N IIIN0 <br />DESTINATION LABORATORY <br />fit► ►= <br />1 -638-7301 <br />LD <br />RANCHO .=D <br />PROJECT95742 <br />SAMPLED BY 0 OTHER <br />a <br />•: • <br />SITE LOCATION <br />SAMPLE <br />• <br />DATE TIMEIDENTIFICATION MATRIXSAMPLE <br />ANALYSIS <br />REQUEStDFIELD <br />CONDITIONS: <br />•• <br />TURA AROUND TIME SPECIAL INSTRUCTIONS <br />RETENTION TIME PRESERVATIVES: (1)HCL 3) COLD <br />RELINODUSIiEb BY (SIGN) PRINT NAME / COMPANY bAfE / TIME . RECEIVEb BY (SIGN) PRINT NAME I COMPANY <br />W "R FIT, C& mo-mmiffarkolp <br />MAP <br />SHIPPED VIA <br />■ , ■ ■ • <br />I <br />