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CLS - Lab& CHAIN OF CUSTODY CLS ID No.; S's,11(0 LOG NO. 12638 <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> NAME AND ADDRESS >LY! _J✓+�'• ` v� �� <br /> DESTINATION LABORATORY ` <br /> W' <br /> CLS (916) 638-7301 <br /> PROJECT MANAGER - PHONE# RAN HOFITCORDO RD. m COMPOSITE: <br /> RANCHOGERLDR . m <br /> PROJECT NAME 95742 M (h <br /> JA/m s. m �J <br /> SAMPLEDBY ❑ OTHER n <br /> JOB DESCRIPTION ` AC.T <br /> C <br /> fn $ Q TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> N <br /> SITE LOCATION <br /> I a <br /> — SAMPLE CONTAINER <br /> DATE TIME <br /> IDENTIFICATION MATRIX NO. TYPE <br /> SZ3 oL 135-s CSM/0?-01 W 4 110A 3 <br /> 135 C SM /o 9-0 <br /> = <br /> Y z CSM /03-5S- 3 Vo FF 3 <br /> !V 2$- C 5 M /a SS Icoa <br /> !'�Mo C 5 M r©3 S} \/C,4 3 'f <br /> I`F40 CSM Ion-Sa- S2oLc 2 <br /> IS-00Csn� lour. �( % 0 3 f /f'tfS <br /> INVOICE TO: <br /> is-cc Gstitro9e� t SDo � ✓ <br /> e0.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATNES: (1)HCL (3)=COLD <br /> (2)HNO, (4) <br /> RELINQUISHED BY(SIGN) A , [,PP/RINT NAME/COMPANY DATE/TIME RECEIVED B (SIGN) PRINT NAME <br /> `/�COMPANY <br /> w M J'77i+P", e-wa 8 S23 0! ��i O AH <br /> Gv9 W ,�{N^ Z� lA�Z✓ <br /> CYO AT LAB BY6TE/TIME' ��� � yC� CONDITIONS/COMMENTS: <br /> SHIPPED BY: ❑ UPS OTHER !J! AIR BILL# <br />