Laserfiche WebLink
CLS - LC S CHAIN OF CUSTODY CLS ID No.; 5VA LOG NO.1f, 71 <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> NAME AND ADDRESSP4K L k A D,1-o o . <br /> �DESTINATION LABORATORY <br /> ' <br /> 1�CLS (916) 638-7301 m <br /> PROJECT MAZR PHONE* FITZGERALD RD. m � * <br /> PROJECT MAN R PHONE# RANCHO CORDOVA,CA. (f) V COMPOSITE: <br /> l D O 95742 m <br /> PROJECT NAME C�, c-t-ojcwm V <br /> SAMPLED BY f ❑ OTHER a -) <br /> JOB DESCRIPTION C ` <br /> md TURN AROUND T[ME SPECIAL INSTRUCTIONS <br /> SITE LOCATION �J Q �. <br /> DATE TIME SAMPLE CONTAkNER C �O ( r a N o "'o <br /> IDENTIFICATION MATRIX NO. TYPE <br /> i ! - AOID1 Sot J Ste! X X <br /> i w-a, p ISD' Is", ) ! <br /> M Go 64p ss . 1 IL <br /> P e o N D <br /> INVOICE TO: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES: (1)HCL (3)-COLD <br /> (2)HNO, (4) <br /> RELINQUISHED BY(SIGN) PRINT NAME 1 COMPANY DATE/TIME RECEIVED BY(SIGN) PRINT NAME 1 COMPANY <br /> ffi/ ,366 LG <br /> I <br /> 614 <br /> of <br /> REC'D AT LAB BY: DATE)TIME: CONDITIONS 1 COMMENTS: <br /> SHIPPED Y: ❑ FEE6 ❑ UPS ❑ OTHER AIR BILL# <br />