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9 �1 2 - <br /> BILL TO 1D # 1 1 2 6 5 <br /> ^ GHU CONSTRUCTION 1 3s 808d OLE) AUBURN ROAD' SERVICES INC CITRUS HMGHTS,CA 95610 ❑ � <br /> t.[c #saaaas JOB ff`�'���` <br /> (916) 723-1775 <br /> LIC #6063.5 608i OLD AUCiU RN ROAD CITRUS HEIC HTS CA 9SBIQ <br /> CHAIN OF CUS Y P 0 # <br /> 1011 ME LAB <br /> PROJECT MIL <br /> [�1` SAMPLES COLLECTED B kq�'"'� <br />' SAMPLE TYPE <br /> SAMPLE TYPE ANALYSIS <br /> SAMPLE LOCATION DATE TIME NO CONTAINER(S) REQUIRFD <br /> o Ix SOIL AIR WATER <br /> t[a, <br /> Us- <br /> 1 <br /> NATURE <br /> f RECEI F BY DATE/CIMF <br /> E I e ED BY / RECEIVED BY R DATE/I IM1 <br /> RELINQUISHED BY RECEIVED BY DATE/TIME <br /> ' RECFIVED FOR LABORATOR — — DATE/TIME <br /> �ietif�_ !Z-2a..gs �p3 Q� <br /> METHOD OF SHIPMENT <br /> ' DISPOSITION <br /> STORAGE ❑ REFRIGERATOR ❑ FREEZER <br /> ��I?N AROUND TIME SECURED <br /> ' ❑ 24 HOURS ❑ 3 DAYS ❑ 1 WEEK WEEKS ❑ <br /> yt NO <br /> ' NO'I F PLI ASI HAVE FACH DATA SI iEE'1 SIGNED BY C EmIST <br />