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J UVJ 1 <br /> CLS - Labs CHAIN OF CUSTODY CLS ID No.; LOG No. 17963 <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: k., i rL _ <br /> NAME ANDADDRESS 190 S , / /, r4'. H inti❑T 0 <br /> DESTINATION LABORATORY <br /> CLS (916) 638-7301 m 01 z ,i 17 P'' 2: 04 <br /> PROJECT MANAGER PHONE# 3249 FITZGERALD RD. m 3J' RANCHO CORDOVA,CA. (n m COMPOSITE: <br /> PROJECT NAME 95742 m y <br /> SAMPLED BY ❑ OTHER D .� <br /> JOB DESCRIPTION <br /> m 00 TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LOCATION <br /> SAMPLE CONTAINER f o a o 0 0 o Q <br /> DATE TIME IDENTIFICATION MATRIX NO. TYPE <br /> Z� o� o93i CS41lo92z w# lz- V-oA- <br /> =j <br /> ' o9so C$M /o9e !?- <br /> l000 Csm 10--5-51- �/ ✓ <br /> 0,SM IoS6 S`(# 1 ✓ <br /> r ll 3.S' S C M W - I <br /> /505 TC A-t i- I <br /> J7so TC M w^ Z 604PAk' <br /> ✓ <br /> INVOICETO: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS Garrd��a SAMPLE RETENTION TIME PRESERVATIVES: (1)HCL (3)=COLD <br /> (1)HCL (4) <br /> RELINQUISHED BY(SIGN) PRINT NAME/COMPANY DATE/TIME RECEIVED BY(SIGN) PRINT NAME/COMPANY <br /> �• V6Mzc� Y z9 u 1 11f3a 7 cvx W <br /> L AIRV ca !V-2-0/ <br /> REC BBY: DATE/TIME: / /�. CONDITIONS/COMMENTS: <br /> SHIPPED BY: X El UPS HER "J AIR BILL# , <br />