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CLS - Le( JI CHAIN OF CUSTODY CLS ID No.; LOG NO. L121 <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> NAME AN D RF„ S _ I roC (J' <br /> DE TINATION LABORATORY <br /> [ F /roCrtcCLS (916) 638-7301 m <br /> 3249 FITZGERALD RD. <br /> PROJECT MA(J` <br /> ��APGER PHONE# m COMPOSITE: <br /> RANCHO CORDOVA,CA. in <br /> PROJECT E 95742 m <br /> SAMPLE �o��c� ❑ OTHER < M ( <br /> JOB DESCRIPTION I <br /> C C— <br /> m TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LOCATIO N <br /> G <br /> DATE TIME SAMPLE CONTAINER �- T-7"'o 0 <br /> IDENTIFICATION MATRIX NO. TYPE <br /> /� <br /> rte;-+ Q <br /> :.7 i) <br /> INVOICE TO: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES: (1)HCL (3)=COLD <br /> (2)HNO s (4) <br /> LINA ISHED BY(SIGN) PRINT NAME/COMPANY ATE TIME ECE VED ( IGV) PRINT NAME/COMPANY <br /> 7(,Xol <br /> RECD AT LAB BY: DATE/TIME: CONDITIONS/COMMENTS: <br /> SHIPPED BY: ❑ FED UPS OTHER AIR BILL# <br />