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CLS - Labs \r7CHAIN OF CUSTODY CLS ID No.; Uo%l2$4 6l <br /> LOG NO. <br /> CALIr PUIIIA EEWPIMB ,. CLIENT JOB NUMBER ANALYSIS REQUESTED FIEL�o IONS: <br /> NAME <br /> { _ a L V( W/W <br /> 36443 out.Qr �� DESTINATION LABORATORY <br /> Sacramento, Califtrnia. 05827 CLS (916) 638-7301 M <br /> PROJECT MANAC35IR PHONE# 3249 FITZGERALD RD. m <br /> RANCHO CORDOVA,CA. m COMPOSITE: <br /> PRp CT NA 95742 <br /> SA PLE By ❑ OTHER D <br /> GC!/1Q. jry <br /> JOB DESCRIPTIgh <br /> M <br /> Si E LOCATION <br /> (p TURN AROUND TIME SPECIAL INSTRUCTIONS <br /> DATE TIME SAMPLE CONTAINER N QO o 0¢ <br /> r/ IDENTIFICATION MATRIX NO. TYPE <br /> ` <br /> 1t� 2 vee <br /> (r') <br /> � Da <br /> INVOKE T0: <br /> P,O.# <br /> QUOTE <br /> SUSPECTED CONSTITUENTS <br /> SAMPLE RETENTION TIME PRESERVATIVES: (1)HCL (3)=COLD <br /> RELI UISHED BY SIGN (2)HNO3 (4) <br /> ) PRINT NAME/COMPANY DATE/TIME RECEIVED BY(SIGN) PRINT NAME/COMPANY <br /> c � <br /> RECO qT LAB DATE!TIME Cj� <br /> GG CONDITIONS/COMMENTS: <br /> SHI P Y: FED X ❑ UPS OTHER AIR BILL# <br />