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CALIFORNIA <br />LABORATORY <br />SERVICES <br /> <br />CLS ID No.; 276-1- 0,243 <br /> <br />Comnr•11.1 anew.* 1.••••• <br /> <br />CHAIN OF CUSTODY LOG Nc.! 11A3 1 <br />REPORT TO: CLIENT JOB NUMBER PRESERVATIVES > ANALYSIS REQUESTED GEOTHRACKER: <br />EDF REPORT 0 YES plio <br />GLOBAL ID: MANE NID ADORE= <br />1,\I <br />TYPE ALT. <br />430/EA, wervinidiv;144, n.ii.' <br />DESIINATION LABORATORY <br />CDPH WRITE ON EDT TRANSMISSION? D YES 0 NO <br />STATE SYSTEM NUMBER <br />4/A9M" .P.AvAt" .3.4_•••V _SAC tel iPs:71174 <br />CLS (916) 639-7301 <br />XcdT/17411RJ44e/E2Jiere.il eiv i.,, Cc. 'F.,:lrr )54..?" 777N <br />3249 FTTZGERALD RD. <br />RANCHO COMM"' 9C:i4, IF 'YES" PLEASE ENTER THE SOURCE NUMBER(S). <br />emajEcT Xi6.4 /9 /S/2 /-1/er-SE "Za.. /04/K. /6- COMPOSITE: SAIIPUED EY <br />,a, <br />II O THER <br />JOG 0E3C95m314 <br />TURN AROUND TIME SPECIAL INSTRUCTIONS <br />OR vit LocAiid/Cf/P4,0"--16,rEg,"Ate5S-F4414F---A-A.40,41./T <br />, d r.49.,..t./knor sw-r.4:Ese- 5.4pil SoAQt.' rid <br /> -A ID: SAMPLE CONTAJNER <br />DATE TIME IDENTIFICATION MATRIX ND. <br />...V /V00 ef0.4. /, S42.4. 6 i jheeVe....jr X <br />/ 49 -14- 0 i ileiVe "rtA <br />ej <br />X <br />• <br />IRVOCE TM <br />PO. • <br />OUOTE • <br />SUSPECTED COMMENTS PIRESERVATIVES: (1) MCA. (3). COW (5) . R.504 (n. RI MO. (4) - WO <br />REUNOUISHED BY (SIGN) PRINT NAME / COMPANY DATE / TIME RECEIVED BY (SIGN) PRINT NAME I COMPANY <br />jive. WA, OW <br />DATE / TMAE c:::t <br />i't) 70 °I Lt I <br />CONDITIONS / COMMENTS: _ 0 <br />SHIPPED BY: FED X UPS OTHER AIR BILL # 40.