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CLS -Labs FW CHAIN OF CUSTODY CLS ID No.; v�� - LOG N° 182204 <br />REPORTTO: CLIENT JOB NUMBER <br />NAME AND ADDRESS r� stlt�t�c�9p.ot. " <br />DESTINATION LABORATORY <br />JO�I yd W fie. %lnc S � I90 <br />1Ir►G`c CD Ov)a �/� �iS"G�O CLS (916) 63&7301 <br />PROJECT MANAGER PHONE# 3249 FITZGERALD RD. <br />9 — _ag RANCHO CORDOVA, CA. <br />PROJECT NAME 95742 <br />SAMPLED BY C/ ❑OTHER <br />Pette'E' �..�i h'%...a.rr,( <br />JOS DESCRIPTION <br />SITE LOCATION <br />SIC{p� <br />m�w <br />Iyl <br />m <br />m <br />D <br />� <br />m <br />V,C� <br />ANALYSIS <br />REQUESTED <br />GEOTRACKER: <br />EDF REPORT ❑ YES Q NO <br />GLOBAL ID: <br />i'►` <br />.� <br />.s <br />� <br />H <br />d <br />a <br />�1 <br />COMPOSITE: <br />A14 <br />FIELD CONDITIONS: <br />TURN AROUND TIME <br />SPECIAL INSTRUCTIONS <br />a <br />OR <br />DATE <br />TIME <br />SAMPLE <br />CONTAINER <br />ALT. ID: <br />IDENTIFICATION <br />MATRIX <br />NO. <br />TYPE <br />Y -v I T <br />1445 <br />/j e,'La - a c <br />scud- <br />I <br />latt'� <br />Z <br />x <br />X <br />11-fK5- <br />Mefu(_-dLL <br />1 <br />I <br />X <br />lHso <br />pro's 14T, <br />SDA <br />I <br />yr so <br />SOL)& <br />� <br />X <br />i450 <br />ry SC <br />so(ik <br />PlAij-& <br />1S'00 <br />f Cflr CA /<e- <br />soli <br />3 <br />V'OA <br />1 <br />5l <br />1.5 o <br />Fu;; <br />I <br />6p'0l.0'a <br />2 <br />�! <br />ISOO <br />1''(,ter' CaKI�. <br />�lt(� <br />t tis <br />� <br />INVOICE TO: <br />ZaAh <br />CQ✓/1 <br />P.O. • <br />OUOTE • <br />SUSPECTED CONSTITUENTS . / 1- ✓ i��Ct/' /l s W� ' (J� / ✓e <br />PRESERVATIVES: (1) HCL (3) = COLD (5) . HAS04 (7) <br />(2) HNO' (4) : NaOH (E) . NySa <br />RELINQUISHED BY (SIGN) <br />PRINT NAME / COMPANY <br />DATE / TIME <br />RECEIVED BY (SIGN) <br />PRINT NAME / COMPANY <br />PC,F� <br />REC D AT LAB BN i <br />DATE /TIME: 0 <br />CONDITIONS I COMMENTS: ` <br />SHIPPED <br />FED X ❑ UPS OTHER AIR BILL # <br />v <br />m <br />AD <br />mt <br />s <br />a <br />0 <br />U <br />c <br />E <br />0 <br />a. <br />