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CLS - L s CHAIN OF CUSTODY( CLS ID No.; &957 <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS R UE TED FIELD CONDITIONS: <br /> LOG N0.10765 <br /> NAME D ADDRESS <br /> #/ DESTINATION LABORATORY �O <br /> CLS (916} 63$-7301 <br /> PROD NAGGERSPHONE# 3249 FITZGERALD RD, m <br /> Y S.O2 qC} RANCHO CORQOVA,CA. (/� O O `� �` COMPOSITE: <br /> FROJ NAME �7 85742 m N <br /> L Ute � <br /> SAMPLED BY ❑ OTHER < �U <br /> JOBYE T10 <br /> r m (((��� +l I TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LOCATION N <br /> l'Z <br /> DATE TIME SAMPLE CONTAINER M o N o o n <br /> IDENTIFICATION MATRIX NO. TYPE <br /> 1 :3 o VL—'� - a w s vots <br /> 6-60 — 3 VoeeS rL; <br /> m <br /> a <br /> INVOICE TO: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES: (1)HCL <br /> (3)=COLD <br /> {2)HNO3 (4) <br /> INQUISHED BY(SIGN) PRINT NAME 1 COMP NY DATE/TIMO RE VIED (SIGN) PRINT NAM /COMP NY <br /> RE T LA13 BY: DATE/TIME: ONS/COMMENTS: <br /> --" 01 fZG--�I Ca3a <br /> SHIPPED BY: FED X UPS OTHER AIR BILL# <br />