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1 <br /> LS - Lq ► CHAIN OF CUSTODY ' CLS ID No.; 1�, LOG NO. 2 5 3 <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> NAME AN DDRESS Fi/ql�J Z, O O <br /> fq`{ DESTINATION LABORATORY <br /> CLS 916 638-7301 M <br /> PROJECT MANAGER n J PHONE# <br /> 3249 FITZGERALD RD. m COMPOSITE: <br /> V RANCHO CORDOVA,CA. (n <br /> PROJECT NAME / 95742 m <br /> SAMPLED BY ��co'� ., C <br /> Ann ❑ OTHER <br /> ce, �'erz tt-o > <br /> JOB DESCRIPTION <br /> N TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LOCATION I <br /> DATE TIME SAMPLE CONTAINER [ o a o o o <br /> IDENTIFICATION MATRIX NO. TYPE <br /> �$i2�1 oc7 2e ;dt�LeA will w�.-�e .3 Vo& El 3 k <br /> C ® ',� <br /> m <br /> g <br /> INVOICE TO: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES: (1)HCL (3)=COLD <br /> (2)HNO 3 (4) <br /> INQUISH Y(SIGN) PRINT NAME/COMPANY DATE/TI RE IVED B ( GN) PRINT NAME/COMPANY <br /> n1 aM <br /> d 000, <br /> R D D T / /1 CONDITIONS/COMMENTS: <br /> 1/91P./PED BY: FED X ❑ UPS OTHER AIR BILL# <br />