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SUBCONTRACT ORDER <br />21DO354 <br />SENDING LABORATORY: RECEIVING LABORATORY: <br />CLS Labs 49er Water <br />3249 Fitzgerald Rd. 245 New fork Ranch Road, Suite A <br />Rancho Cordova, CA 95742 Jackson, CA 95642 <br />Phone: 916-638-7301 Phone :(209) 418-3175 <br />Fax: 916-63 8-4510 Fax: <br />Project Manager: Mark Smith <br />Analysis TAT Due Expires Laboratory ID Sample Date Received Matrix <br />Bioassay- Hazardous 10 04/22/21 12:00 04106/2I 11:30 21D0354-10 03/49/21 11:30 04/07/21 15:00 Soil <br />Waste Screen Test <br />6& sample ID: EX -(A -B) -(C -D) COMP <br />Laboratory sample 1D; 21D0354-10 <br />Please use client sample ID on all reports <br />C'onWiners Supplied: <br />4 oz, jar (B) <br />� � r <br />Rclinqu IILed N Date Re iv By p e <br />--?s P I -Itflof� L't 18 1 --" I <br />Relinquished By Da J Received By ate <br />Shipped $y Airbill Number Page I of 1 <br />r Page 2 of 3 04/22/2021 <br />