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CLS _ Labs � CHAIN OF CUSTODY CLS ID No.; LOG NO. 17963 <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: {/// <br /> NAME ANDADDRESS �/�h/ 5L f Ae 4't�."r"+h`.•i r� IA� ]I <br /> / DESTINATION LABORATORY o <br /> CLS (916) 638-7301 I ' •? 17 f'I i 2: 04 <br /> PROJECT MANAGER PHONE# 3249 FITZGERALD RD. <br /> RANCHO CORDOVA,CA. (1) COMPOSITE: <br /> PROJECT NAME <br /> 3" 95742 M <br /> SAMPLED BY ❑ OTHER D ^, <br /> JOB DESCRIPTION <br /> N 00 TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LOCATION R�0 <br /> DATE TIME SAMPLE CONTAINER <br /> IDENTIFICATION MATRIX NO. I TYPE <br /> cSMI'0 22 Inlr (t. 'Z. V'oA- =j <br /> 09sa C' Sm /09(o -'� I t ! <br /> /aoa esm 10-V5" <br /> CSM I 0 5'b - <br /> /^ /f 3a' Sc !Vl W - 1 <br /> /2So '•rc Ml uJ- Zrgie B ✓ <br /> s• -, <br /> INVOICE TO: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS Zt� SAMPLE RETENTION TIMF. PRESERVATIVES: (1)HCl (3)=COLO <br /> (2)HNO3 (4) <br /> RELINQUISHED BY(SIGN) i PRINT NAME/COMPANY DATE/TIME RECEIVED BY(SIGN) PRINT NAME/COMPANY <br /> ( 1v-I�� �CTzcll �zF uI 7`f3i� 94 nu �•V lW ( ' <br /> e CVRW&-ct ig�vlAt <br /> REC BEY: ,'.. DATE/TIME: CONDITIONS'/COMMENTS: <br /> SHIPPED BY: ❑ UPS CA--plHER AIR BILL# <br />