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MS gftblP CHAIN OF CUSTODY CLS ID No.; <br /> LOG NO. <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> NAME AND ADDRESS <br /> DESTINATION LABORATORY <br /> CLS (916) 638-7301 (y, <br /> m <br /> PROJECT!!AGE7 I PHONE* 3249 FITZGERALD RD. m <br /> RANCHO CORDOVA,CA. COMPOSITE: <br /> _4 A <br /> PROJECT NAME - 95742 M <br /> SAMPLED BY <br /> OTHER <br /> > <br /> JOB DESCRIPTION r Y eI V, <br /> M <br /> TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> C/3 <br /> SITE LOCATION <br /> SAMPLE CONTAINER <br /> DATE TIME IDENTIFICATION MATRIX NO. TYPE 1 41 0 <br /> 44� <br /> I. <br /> INVOICE TO: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES: (1)HCL <br /> (3)=COLD COLD <br /> RELINQUIS ED BY(SIGN) PRINT NAME COMPANY (2)HNO, (4) <br /> RATE/,TIME REG <br /> gIVED BY(SI'O'NPRINT NAME COMPANY <br /> jY <br /> REC'D AT LAB W. DATE/TIME: CONDITIONS COMMENTS: <br /> -1 <br /> SHIPPED BY. T-11 FED X ❑ UPS OTHER AIR BILL# <br />