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CLS o Laf <br /> CHAIN OF CUSTODY CLS ID No , LOG N0. 7 5 O <br /> REPORT TO' CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS <br /> D ADDRESS <br /> 77 <br /> DESTINATION LABORATORY <br /> ❑ CLS (916) 638-7301 m <br /> PROJECT MANAGER PHONEY 3249 FITZGERALD RD m <br /> r RANCHO CORDOVA CA COMPOSITE <br /> PROJECT NAME." 95742 m � <br /> 31/ ,�J m <br /> SAMPLED BY /' ❑ OTHER { <br /> JOB DESCRIPTION <br /> r�+ r C <br /> m TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LOCATION N <br /> f / // <br /> DATE TIMI= SAMPLE CONTAINER <br /> IDENTIFICATION MATRIX NO TYPE <br /> Id. <br /> w <br /> a � <br /> «n <br /> o, <br /> w <br /> U <br /> LLJ <br /> INVOICE TO 0 <br /> 0. <br /> PO 0 <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES (t)HCL (3)-COLD <br /> (2)HNO a (I) <br /> RELINQUISHED BY(SIGN) PRINT NAME 1 COMPANY DATE 1 TIME RECEIVED BY(SIGN) PRINT NAME 1 COMPANY <br /> 7 <br /> RECD AT LAB BY / _ DATE 1 TIME CONDITIONS 1 COMMENTS <br /> LSHIPPED BY FED X ❑ UPS ❑ OTHER AIR BILL# <br />