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EiILL 10 ' 16 6 1 <br /> eoaa os_a ausur3N Rona ❑�(� ctlH CONSTRUCTION <br /> Park. <br /> CITRUS FIC�iTS CA 96810 SERVICES,SERVICES, INC LI^ <br /> J (818) 723-1778 f IC #6013406 JOB �2 <br /> ■w. ..n��nw�. uc #805350 HU64 OLD AUUURN ROAD CITRUS HEICHTS CA 95610 <br /> f <br /> CHAIN OF CUSTODY � :��-J -! p 0 � <br /> JOB NAME Y LAB _- <br /> PROJECT MANAGER SAMPLES COLLECTED BY 1 <br /> SAMPLE TYPE , <br /> CL. SAMPLE TYPE ANALYSIS <br /> -F4 SAMPLE LOCATION DATE TIME NO CONTAINER(S) REQUIRFD <br /> a SOIL AIR WATER <br /> 47A% 12017 <br /> 9& 1 <br /> 1 <br /> Am <br /> 1 <br /> —L-t <br /> _ 1 <br /> PRIN NIA E AFTER SIGNATURE 1 <br /> I �p� XRECEFBY / ATE/'f]hIE�1 1N ISH' Y Ry� yPATI <br /> I _ /'lIM>✓ <br /> ELINQUISHED SY , <br /> RECEIVED BY DATE/TIME~ <br /> RECFIVED FOR LABORATORY BY UATI /GIME <br /> METtIOD OF SHIPMENT <br /> 1 <br /> DISPOSITION 1 <br /> ❑ STORAGE ❑ REFRIGERATOR ❑ FREEZER <br /> TURN AROUND TIME SECURE <br /> ❑ 24 HOURS ❑ 3 DAYS [❑ 1 WEEK WEEKS ❑ ❑ <br /> YES NO <br /> NOCF PLFA9F HAVE: FACH DATA SHEII SIGNED 13Y CFifMIST <br />