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ENGINEERING INC. 80$4 QLD AUBURN ROAD <br /> INCE#27011 I.IC. #537901 CITRUS HEIGHTS, CA 95810 <br /> (916) 723-7845 J013 <br /> gym ] LIC.#537901 <br /> ��{ChAIN OF CUS'I`UD1r <br /> JOB NAME: LAB: 1F y <br /> PROJECT MANAGER: t SAMPLES COLLECTED BY: <br /> SAMPLE 'n PE <br /> SAMPLE TYPE ANALYSIS <br /> m SAMPLE LOCATION DATE TIME N0. CONTAINER(S) REQUIRED <br /> o <br /> SOIL AIY. WATER <br /> µ.- - I lids tc�k z z 3 ?` �vu- P '� ®rt--" <br /> } <br /> f - <br /> r 4` t2<o 2 23 <br /> .._ I 2'L 3 6 S <br /> 6 <br />'A <br /> PRINT NAME AFTER SIGNATURE <br /> REC INFO f3Y: DATE/TIME <br /> tLJ,`�Ls S 130 <br /> I2E kSN RECEIVED BY: DATE/TIME <br /> RELINQUISHED BY: RECEIVED BY: DATE/TIME <br /> RECEIVED FOR LABORATORY BY: DATE/TIME <br /> METHOD OF SHIPMENT: <br /> 1p#OSITION: <br /> U STORAGE ❑ REFRIGERATOR ❑ FREEZER <br /> SECURED <br /> TURN AROUND TIML <br /> ❑ 24 HOURS ❑ 3 DAYS ❑ 1 WEEK WEEKS ❑ ❑ <br />.k YES NO <br /> NOTE: PLI?ASE, HAVE EACH DATA SHEET SIGNED 13Y CHEMIST. <br />