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D'6un I <br /> CLS - Labs CHAIN OF CUSTODY CLS ID No.; LOG No. 17963 <br /> REPORT TO: CUENTJOBNUMBER ANALYSIS REQUESTED FIELD CONDITIONS: l/ <br /> NAME AND ADDflESSri <br /> 5776/ ��� f' {✓ _' k 11 <br /> IS.i <br /> DESTINATION LABORATORY <br /> CLS (916) 638-7301 m <br /> IT!PROJECT MANAGER PHONE# <br /> 3249 FITZGERALD RD. COMPOSITE: <br /> RANCHO CORDOVA,CA. (/) (� <br /> PROJECT NAME i 3J, 95742 M y <br /> SAMPLED BY ❑ OTHER D ,�/ <br /> JOB DESCRIPTION Ir <br /> m oo TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LOCATION <br /> DATE TIME SAMPLE CONTAINER <br /> IDENTIFICATION MATRIX NO. TYPE <br /> zw os 0435' C'sAl f09 2z - w'u, 2 vow 3 r <br /> oRso /oRra `} j <br /> /ooa G'sM f0� a� a <br /> z'. 1305 -Fc &LWT - 1 <br /> INVOICE TO: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS ` SAMPLE RETENTION TIME PRESERVATIVES: (1)HCL (3)=COLD <br /> (2)HNOy (4) <br /> RELINQUISHED BY(SIGN) 1 PRINT NAME/COMPANY DATE/TIME RECEIVED BY(SIGN) PRINT NAME/COMPANY <br /> r✓(. o-�a Z-CIA ` Z 01 l'f 3a ? 6 v t lJ 1 r <br /> mt— 62",_ <br /> REGW. �,' DATE/TIME: 7 � <, / --� �., CONDITIONS/COMMENTS: <br /> SHIPPED BY: X ❑ UPS HER AIR BILL# <br />