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CLS - Labs CHAIN OF CUSTODY CLS ID No.;SZSk LOG NO. 12638 <br /> REPORTTO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD ✓NDDITIONS: £ tA-1*RsAA. —'*6 .F) <br /> IE <br /> NAME AND ADDRESS AA� / '!�w 2-4tI N/ <br /> Sr77M 6yn . DESTINATIONLABORATORY <br /> 3 / BfJ CLS (916) 638-7301 d <br /> PROJECT MANAGER Ss-•+�- PHONE# RAN HOFITCORDO RD. RI Qp COMPOSITE: <br /> RANCHO . (n <br /> PROJECT NAME 95742 M CYQ <br /> Jnlrx. �o �Lt�R-KE7- y <br /> SAMEl BY OTHER n <br /> JOB DESCRIPRON , �T <br /> m <br /> Nj TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LOCATION <br /> 'va VI o <br /> SAMPLE CONTAINER <br /> TYPE <br /> Qo f [ tr <br /> DATE TIME IDENTIFICATION MATRIX NO. - <br /> S29 oL l3SS C�SMlo �'C+1 <br /> 1isS CSMA© }D/ �Onal 2 y7,- <br /> 5 A /o }/n 52 vo- 4 <br /> 2 CSM !o 3-Ss 3 1/044 -3 <br /> w <br /> tf 2-r CSM � <br /> /© -SS" ScoA,t <br /> !µ'M CSM toff S� i/Q� 3 <br /> (`F4® CS A4 l o S�- !RDAJ 2- <br /> Ilan esm1 (09t a `F Von► 3 f �' ✓ ell ;v <br /> INVOICE TO: ' <br /> ISGo CSM to9c f Sao Z ✓ <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLERETENTION TIME PRESERVATNES: (1)HCL (3)—COLD <br /> (2)HNOa (4) <br /> RELINQUISHED BY(SIGN) Y,PRINT NAME/COMPANY DATE/TIME RECEIVED (SIGN) PRINT NAME/COMPANY <br /> #4e,,Zj- eAAJaC-8 V23 0/ /t, o 'FI 6 vl-W� <br /> Al <br /> CO A7 LAB BY: - SATE'/TME: CONDITIONS/COMMENTS: ` <br /> SHIPPED BY: ❑ UPS OTHER �f / J! AIR BILL# <br />