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�ige- <br /> 03747 <br /> ELULWU ENGINEERING INS. I.U. <br /> � X11 �. �� 11960 HERITAGE OAK PL#2B <br /> AUBURN, CA 95603 <br /> (530) $86-3100 JOB 5787-1 <br /> LIC. #537901 <br /> CHAIN Off' CUS'T'ODY � ° <br /> JOH NAME: _ t f}i-419r4 LAB: <br /> PROJE("I' MANAGER. SAMPLES COLLECTED BY <br /> SAMPLE: '1'1'1'F <br /> SAMPLE TYPE ANALYSIS <br /> SAMPLE LOCATION DATE TIME: NO. CONTAINER(S) REQUIRED <br /> a a SOIL AIN WATER <br /> Ll 7t- To L -rpH <br /> /x-13 ^ , ►�Ir,��i'vc� <br /> Vnw-� <br /> Li <br /> 13 K mw-a <br /> Al of <br /> PRINT NAME AFTER SIGNATURE <br /> RELINQUISHED BY: RECEIVED BY: DATE/TIME: <br /> RELINQUISHED BY' RECEIVED BY: DATE/TIM <br /> RELINQUISHED BY: RECEIVED BY: DATE/TIME <br /> RECEIVED FOR LA$ORAT � ATE/'TIME <br /> r _ <br /> METHOD OF SHIPMENT: <br /> OSITION: <br /> STORAGE ❑ REFRIGERATOR ❑ FREEZER <br /> TURN AROUND TIME SECURED <br /> ❑ 24 HOURS ❑ 3 DAYS ❑ i WEEK ❑ 2 WEEKS ,/* �vvvED ED�jo <br /> � YES NO <br /> NOTE,: F'LI:AS[? HAVE E:ACFE DATA SHEET SIGNED I3Y CFII.MIST. 1 r , "`���"` <br />