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-E E <br /> [LL TO LA--ltl- <br /> LILA r-A I D # 1 1 Q / 9 <br /> ENGINEERING INC �(� cltx CONSTRUCTION <br /> L.L'L.LJR� SERVICES INC <br /> LIC #537901 LIC #608406 JOB_ # Si::� ICS <br /> 8084 OLD AUBURN ROAD CITRUS HEIGHTS CA 056i0 8084 OLD AUBURN ROAD CITR,S NEIGH-9 CA 95810 <br /> CHAIN OF CUSTODY <br /> OB NAME LAD <br /> ROJECT DIANAGER \Jiv-m E7-:rr_ SAMPLES COLIECTED B1 �;a' <br /> SAMPLE TYPE <br /> SAMPLE Tl FE ANALYSIS <br /> SAMPLE LOCATION DATE TIME NO CONTAINER(S) REQUIRED <br /> SOIL AIR WATER <br /> x tO")_0 lq0-,- <br /> I CS <br /> ,-ICS Hal <br /> 1,;2,6 19 019 MSL <br /> I Nell <br /> 1 Qoz, <br /> RINT N 1.1E AFTER SIGNATURE.-- <br /> R CFIVED BY HATE/TIME <br /> I t o t <br /> L QUISHED 0Y R &IVED BY DATE/TIME <br /> LINQUISHED BY RECEIVED BY DATE /TIME <br /> RECEIVF FOR LABORATORti BY DA I'E 'TIME <br /> ETHOD OF SHIPMEN <br />'ISPOSITION <br /> � 14PTORAGE (REFRIGERATOR F-] FREEZER <br /> ,u AROUN14PSECURED <br />'❑ 2 HOUR ❑ 3 DAYS ❑ I WEER � <br /> 4 y WEEKS ❑ ❑ <br /> YES NO <br /> `OIL PI.I A'zl- HAVE F ACII DATA SHEET SIGNLD BY CHLMV7 <br /> I <br />