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CLS = Labs <br /> CHAIN OF CUSTODY CLS ID No.;59_( 05 LOG NO. 20950 <br /> REPORTTO: CLIENT JOB NUMBER ANALYSIS REQUEST ED FIELD CONDITIONS: <br /> NAMEANDADDRESS S fl o / <br /> DESTINATION LABORATORY <br /> LS (916) 638-7301 M <br /> PROJECT MANAGER PHONE# 3249 FITZGERALD RD. N COMPOSITE: <br /> RANCHO CORDOVA,CA. M <br /> PROJECT NAME 95742 m V <br /> SAMPLED BY ❑ OTHER D d <br /> JOB DESCRIPTION _1 <br /> m ' / TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LOCATION <br /> CONTAINER o 0 o <br /> IDENTIFICATION MATRIX NO. TYPE <br /> DATE TIME SAMPLE <br /> z3 a� tsy esm /o8" W Z VO4 3 <br /> Yoh, tss' CSM /64co 1loA 3 <br /> INVOICE TO: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES: (1)HCL (3) COLD <br /> (2)HNO, (4) <br /> RELINQUISHED BY(SIGN) PRINT NAME/COMPANY DATE/TIME 4ECEIVED BY(SIGN) PRINT NAME/COMPANY <br /> /�/• H»2rz�-Zc., �n/Q[.B 6 za-w /�3a T G✓JZ'G>',/�-C <br /> ,OE <br /> CD AT LAS BY: OATS/TIME: („-7 xp (f 7/S_lr— CONDITIONS/COMMENTS: <br /> SHIPPED BY: UPS OTHER e ✓/ AIR BILL# <br />