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CLS - LEOS <br /> CHAIN OF CUSTODY CLS ID No., T7 3 LOG. NO.. 26645 <br /> REPORT TO: CLIENT JOB NUMBERANALYSIS REQUESTED FIELD CONDITIONS: <br /> NAME AND DRESS <br /> a[ <br /> DE TINATION LABORATORY <br /> ./ <br /> CLS (916) 638-7301. <br /> 3249 FITZGERALD RD. m <br /> PROJECT M NAGER r5 PHOIFFYNE# RANCHO CORDOVA,CA. 0 77Z COMPOSITE: <br /> PROJECT NAME 95742 M <br /> vl� �I�Jlti� m <br /> SAMPLED ❑ OTHER a <br /> JOB DESCRIPTION ` -1 <br /> N L TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> SITE LOCA <br /> CONTAINER r o N o o <br /> IDENTIFICATION MATRIX NO, TYPE <br /> DATE TIME SAMPLE <br /> f3co W- 6 3 - 11P 5 V <br /> INVOICE TO: <br /> PO.# <br /> QUOTE# <br /> SUSPECTED CONSTITUENTS SAMPLE RETENTION TIME PRESERVATIVES: (i)HCL —6ESLD <br /> (2)HNO a (4) <br /> REL QUIS ED BY(SIGN) PRINT NAME/COMPANY �DATE 1 TIME AEC IVED BY(SIGN) PRINT NAME 1 COMPANY <br /> m AQ <br /> a <br /> RE B B DATE-41rIME, CONDITIONS!COMMENTS: <br /> ' l /oa 00 <br /> SHIPPF ❑ FED X ❑ UPS OTHER e AIR BILL# <br />