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CLS -Labs i9�- ,7w CHAIN OF CUSTODY CLS ID No.; ) vLOG N° 182204 <br />REPORT TO: <br />CLIENT JOB NUMBER <br />m <br />(/)1 <br />m <br />C <br />C <br />m <br />ANALYSIS <br />REQUESTED <br />GEOTRACKER: <br />EDF REPORT ❑YES Lx� NO <br />GLOBAL ID: <br />NAME AND ADDRESS va <br />sAl(aI-+0090.pl. <br />.s <br />,� <br />N <br />t + <br />^\ <br />a <br />R' <br />10 190 ' V '_ Ro S � 190 <br />DESTINATION LABORATORY <br />®.CLS (916) 638-7301 <br />3249 FITZGERALD RD. <br />RANCHO CORDOVA, CA. <br />95742 <br />Pv.lc�Io 60Ove C'4 gs-6}p <br />PROJECT MANAGER PHONE# <br />14 4 _ _ <br />COMPOSITE: <br />PROJECT NAME <br />SAMPLED B'ElOTHER <br />- ter *k,-; It- <br />FIELD CONDITIONS: <br />JOB DESCRIPTION <br />q <br />m% <br />TURN AROUND TIME <br />SPECIAL INSTRUCTIONS <br />SITE LOCATION <br />N <br />OR <br />DATE <br />TIME <br />SAMPLE <br />CONTAINER <br />ALT. ID: <br />IDENTIFICATION <br />MATRIX <br />NO. <br />TYPE <br />I'fKS <br />Me,4nL-c)LL <br />s�tlLl <br />I <br />I <br />>C <br />1Hs0 <br />P� 'SI47s <br />i1j <br />3 <br />YoA <br />I <br />IHSt� <br />ro SI <br />SoU(�. <br />� <br />)L <br />Is00 <br />" Mev- CA /<e- <br />so!/` <br />3 <br />V'OA <br />I <br />>l <br />1.5 O <br />' '�P> 64K-- <br />so(JLQ <br />S�aL- <br />2 <br />►soo <br />rt tom- merle. <br />INVOICE TO: <br />h <br />Cc.�n <br />P.O. # <br />QUOTE # <br />SUSPECTED CONSTITUENTS% <br />✓g <br />PRESERVATIVES: (1) HCL (3) = COLD (5) - H2SOs (7). <br />(4) - NSOH (E) - N&AA <br />RELINQUISHEDBY (SIGN) <br />PRINT NAME ! COMPANY <br />DATE <br />/ TIME <br />RECEIVED BY (SIGN) <br />PRINT NAME / COMPANY <br />9af� <br />10<20 <br />i <br />RECD AT IAB er. j j ` <br />/l <br />DATE / TIM@ `I , O <br />' 1 <br />COMMONS / COMMENTS: 0 . <br />SHIPPED .- <br />FED X ❑ UPS OTHER AIR BILL # <br />v <br />a <br />