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BILL 10 Lr::A <br /> I D # 11525 <br /> n 6094 OLD AUBURN ROAD C11II CONSTRUCTION <br /> C1-JJC�iTs, CA 95870 SERVICES INC <br /> (s16)s7 72 72s-mI W #608406 6 ❑ VVV JOB <br /> lk UC #605350 6084 OLD AUUURN ROAD CITRUS }!EIGHTS CA 95614 <br /> CHAIN OF CUSTODY LP0 # <br /> JUf3 NAME �� L LAB --- -- <br /> PROJECT MANAGER SAMPLES COLLECTED BY S <br /> { <br /> SAMPLE TYPE <br /> SAMPLE TYPE ANALYSIS <br /> ' < SAMPLE LOCATION DATE TIME NO CONTAINER(S) REQUIRED <br /> SOIL AIR WATER <br /> f <br /> k- <br /> 7 X �3u� X �� <br /> ug <br /> RINT NALfE AFTER SIGNATURE <br /> RECEIVFD BY DATE/TIMI✓ <br /> ELINQUiSHED BY RECEIVED BY DATE/l IML <br /> RELINQUISHED BY RECEIVED BY DATE/TIME <br /> RECEIVED FOR LABORATORY BY DATE/riNlE <br /> tETHOD 01 SHIPMENT <br /> ISPOSITION <br /> STORAGE ❑ REFRIGERATOR ❑ FREEZER <br /> AROUND TIME SECURED <br /> ' ❑ 24 HOURS ❑ 3 DAYS ❑ 1 WEEK2 WEEKS ❑ <br /> �E�s NO <br /> NOTE PLVASI' HAVE FACFI DATA SIIEE'l SIGNED DY 1,MIST <br />