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�Ci II <br /> J <br /> ENGINEERING, INC. I ° �� <br /> - 11960 HERITAGE OAK PL#2B <br /> FfM 02MI 1 UC. 053M1 AUBURN, CA 95603 <br /> (530) 886-3100 JOD -3I 9.7, <br /> LIC #537901 <br /> CHAIN OF CUS'T'ODY j060774ds�79 p4 <br /> JOH NAME /?lt LAD 5a'l-, � /7-- <br /> PROJE("I' MANACFR /d im-��-sir*-/� SAMPLFS COLLECTED BY ,{�Q <br /> SAMPLE T)PE <br /> SAMPLE TYPE ANALY:IS <br /> and SAMPLE LOCATION DATE TIME NO CONTAINIJR(S) REQUIRED <br /> o SOIL Alf: WATER <br /> f rr.A- <br /> r <br /> lo OIXY3- <br /> f-t Lu Z <br /> 7� I d;�ci M�t1� <br /> PRINT RE AFTER SIGNAPME ' <br /> RELINQUIS D SY RECCIVCD BY---- ATE/'�Ihll'1 <br /> RELINq4ilRED 13Y RECEIVED BY G' � � D TE/"FIND <br /> RELINQUISHED BY RECEIVED BY DATE/TIME <br /> RECEIVED FOR LABORATORY BY DATE/'rimE <br /> I <br /> METHOD OF SHIPMENT <br /> D OSfTION <br /> STORAGE ❑ REFRIGERATOR ❑ FREEZER <br /> URN AROUND TIME bf SECURED <br /> 'I <br /> ❑ Z4 HOURS ❑ 3 DAYS ❑ 1 WEED{ ❑ 2 WEEKS � � ❑ ❑ <br /> YES NO <br /> DOTE PLEASE HAVE EACH DATA SHEET SIGNED 13Y CHEMIST <br />