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CLS - Labs CHAIN OF CUSTODY CLS ID No.; (A-?° 1 LOG No. 22630 <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> NAME AND ADDRESS rl f�q�i K6 tW-ft—J' O <br /> /�n �GDESTINATIO(IV'LABq�fRATORY <br /> � <br /> 1 W CLS (916) 638-7301 M <br /> -117A1 <br /> PROJECT MAN GER p NE 3249 FITZGERALD RD. MQ COMPOSITE: <br /> RANCHO CORDOVA,CA. (1) Q h <br /> PROJECT NAME �}�f l 95742 M l.Vl �J <br /> SAMPLED BY I. Pali ElOTHER n <br /> JOB DESCRIPTION ((�� <br /> N" `� TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LOCATION �^ `, ^ <br /> DATE TIME SAMPLE CONTAINER ' o o o o <br /> IDENTIFICATION MATRIX NO. TYPE <br /> fi Bc <br /> j <br /> dgss��� <br /> INVOICE TO: <br /> P.0.# <br /> QUOTE# <br /> SUSPECT CONSTI ENTS SAMPLE RETENTION TIME PRESERVATIVES: (I)HCL (3)=COLD <br /> (2)HNO, (4) <br /> R DISHED BY(SIGN) PRINT <br /> `NAM 1 COMPANY DATE 1 TIME RE EIVED (SIG ) PRINT NAME 1 COMPANY <br /> L A k <br /> REC'D AT LAB BY: DATE I TIME: CONDITIONS/COMMENTS: <br /> 3 -dZ DO0 <br /> SHIPPED ' ❑ FED X ❑ UPS ❑ OT AIR BILL# <br />