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CLS - Lr'1S CHAIN OF CUSTODY,(, ,) . - CLS ID No.• "7 /WF <br /> LOG NO.1U932 <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> NAME AND ADDRESS z 'OD Y <br /> eC <br /> ' +74 IT / DESTINATION LABORATORY <br /> t<J V t� CLS (916) 638-7301 /Li <br /> ,14 <br /> PROJECT MANAGER HO E# 3243 FITZGERALD RD. m i <br /> .� �� RANCHO CORDOVA,CA. N V COMPOSITE: - <br /> PROJECT NAME g> L 44 95742 M <br /> SAMPLEbBY ❑ OTHER n <br /> JOB DESCRIPTION <br /> C V <br /> m TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LOCATION � Wet <br /> N � q <br /> SAMPLE CONTAINER r p a o } o 0 <br /> DATE TIME IDENTIFICATION MATRIX NO. TYPE <br /> I3 13';pa ham Vo � <br /> i t :So von <br /> INVOICE TO: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES: {1J HCL {3J»COLD <br /> (21 HNO a (4) <br /> RELINQUISHED BY GN) PRINT NAME/COMPANY DATE/TIME RECEIVED BY(SIGN) PRINT NAME/COMPANY <br /> { <br /> is <br /> D T 9Y: DAT.E TI J/ CONDITIONS/COMMENTS: <br /> PED BY- ❑ FED X ❑ UP <br /> / <br /> ❑ OTHER AIR BILL# <br />