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CLS - Labs J <br /> CHAIN OF CUSTODY CLS ID No.; LOG NO. <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> NAME AND ADDRESS "%f} <br /> 7 <br /> t>• G i ' + ':r F F DESTINATION LABORATORY <br /> I S i�} F I', , ❑'CLS (916) 638-7301 <br /> PROJECT MANAGER ,.- r r PHONE# 3249 FITZGERALD RD. m f <br /> RANCHO CORDOVA,CA. cn COMPOSITE: <br /> PROJECT NAME e { r,IC.0 <br /> 95742 <br /> SAMPLED BY x } F . <br /> ' ❑ OTHER nC <br /> J08 DESCRIPTION <br /> 111 <br /> TURNAROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LOCATION 'i ��"�...r �- ,�, f• N J �� '�. <br /> [ f fQ� <br /> DATE TIME SAMPLE CONTAINER N�•f 1, ❑ lIlp r o <br /> ! <br /> IDENTIFICATION MATRIX NO. I TYPE 9 <br /> INVOICE TO: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES: (1)HCL (3)=COLD <br /> (2)3iN0� [4) <br /> RELINQUISHED BY(SIGN) PRINT NAME 1 COMPANY DATE 1 TIME RECEIVED BY(SIGN) PRINT NAME/COMPANY <br /> tri <br /> —R—EGD AT—LAB 8Y: DATE!TIMF_: rnn�niri�n,c f Dnee�eFUTa <br />