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(AJ It C"' <br /> CHAIN OF CUSTODY P390 <br /> Lab CLS <br /> TAT__ da <br /> �f <br /> Report results to <br /> Name Bert Heningburg Project Information <br /> Company ENSR Site Address 5606 Pari9lc Ave <br /> Mallutg Address 14414 Old Placerville goad ENSR Job# ©599fl 293 �21� <br /> City State,Zip Sactamento,Ca 95827-2508 Unocal Job# 5498 <br /> Telpphane No 916-352-7100 ext 315 Global 913# T060TT00008 <br /> Fax No 91€-362.8100 Anal sea R uasted <br /> Spedal lnslruchons artftf St ttft requlat4ry requimmerft <br /> a <br /> fsR Sample CondttlonlComments <br /> NEW a <br /> 1 <br /> &,, <br /> 1 <br /> t1W- C lF33~7 <br /> ILL <br /> Collected by DaWT6e7 j���y'�t Collector'is S117natt nata/nnta Z� <br /> Relinquished by Aawnrrte Received by 97atemme <br /> Rellnqulshed by o7awrime Received by ��.- 93ate?lirre <br /> Method o9T Shipment, Sample Condition on Rcpt <br />