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CLS - Labs CHAIN OF CUSTODY CLS ID No.; 0� LOG NO. 22631 <br /> REPORT TO: CLIENT JOB NUMBER ANALYSIS REQUESTED FIELD CONDITIONS: <br /> NAME AND ADDRESSrl n/-U rh <br /> AROJECT <br /> 1W. 1DESTINNATIIONLABORATORY <br /> LS (916) 638-7301 mQ9 <br /> MANAGER PION—EIOLT-y— 3249 FITZGERALD RD, <br /> RANCHO CORDOVA,CA, (/) 1 J COMPOSITE: <br /> PROJECT NAME Pt `` 957AP m CJ <br /> SAMPLED BY V ❑ OTHER C <br /> JOB DESCRIPTION <br /> C � <br /> N � TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LOCATIONg�v ``i►4 LA Q <br /> TDATE SAMPLE CONTAINER <br /> TIME IDENTIFICATION MATRIX NO. TYPE <br /> 1 T. - 12 0 - 9cs 112-0 <br /> o �S asi&Amil <br /> INVOICE TO: <br /> P.O.# <br /> QUOTE# <br /> SUSPECTED NSTI DENTS SAMPLE RETENTION TIME PRESERV TIVES: (1)HCL (3)=COLD <br /> (2)HNO3 (4) <br /> ELI UI HED BY N) PRINT NAME/COMPANY DATE/TIME CEIVED BY( IG PRIPT NAME 1 COMPA <br /> td ff)FE !Z-lD-DZ 00WhOW <br /> AK <br /> 111 I <br /> RECD AT LAB Y; DATE]?, CONDITIONS 1 COMMENTS: <br /> SHIPPED FE Ll UPS OT AIR BILL# <br />