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CLS - Labs CHAIN OF CUSTODY CLS ID No.; ------ LOG NO. ' <br /> REPORT TO: CLIENT JOB NUMBER I ANALYSIS REQUESTEp GEOTRACKER: <br /> NAME AND ADDRESS ( _y--_ <br /> (( DESTINATION LABORATORY 0 - p 7L EDF REPORT ❑ YES ❑ NO <br /> © CLS (916)638-7901 <br /> a A- �' GLOBAL ID: <br /> PROJECT MANAGER CA Z 3 PHdlEf 3249 FITZGERALD RD. m � COMPOSITE: <br /> Ci RANCHO CORDOVA,CA. (A <br /> MWECT NAME 85742 m N <br /> -4 P <br /> SAMPLED BY - ❑ OTHER D ID FIELD CONDITIONS: <br /> J08 DESCRI < <br /> IT! c TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> y o <br /> SITE LOCATION <br /> SAMPLE CONTAINER ^o a o n o OR <br /> DATE TIME IDENTIFICATION MATRIX NO. TYPE ` ALT. 10: <br /> 2, fl I: d <br /> t. <br /> 3EII 2:3a a: � <br /> SNOICE TO: <br /> P.O. <br /> QUOTE f <br /> SUSPECTED CONSTITUENTS PRESEFWrVE& (1)HCL (JJ=COLD (5)-HpSOT (7- <br /> (2)HNq (4)-Ne0ti (8)-NySiOa <br /> RELINQUISHED BY(SIGN) PRINT NAME/COMPANY DATE/TIME RECEIVED BY(SIGN) PRINT NAME/COMPANY <br /> I= <br /> I <br /> MAR 2 12016 <br /> RECO AT LAS BY DATE I DME CONDITIONS I COMMENTS: ENVIRONME 1; <br /> SHIPPED BY: ❑ FED X ❑ UPS ❑ OTHER AIR BILL# EPARTMENT <br />