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jiec <br /> BILL TO I D 1904 <br /> FJjA 8084 OLD AUBURN ROAD GHIi* CONSTRUCTION <br /> 1, <br /> CITRUS HE?C4iTS. CA 95810 SERVICES INC <br /> (916) 723-1778 r rc asor3las JOB <br /> ■......rk it LIC #605350 80114 OLD AUDURN ROAD CITRUS HE[OHM CA 9581O <br /> v CHAIN OF CUSTODY 9�� aye P 0 # <br /> JOB NAME [� �. LAB lE <br /> PROJECT MANAGER � �}� � �"l.; SAMPLES COLLECTED BY <br /> SAMPLE TYPE <br /> SAVPLE TYPE ANALYSIS <br /> o SAMPLE LOCATION DATE TIME 5A1'i4 NO CONTAINER(S) R QU RFD <br /> cs AIR WATER <br /> 11(01 <br /> X tict-zn2 1r.�' l �z4 <br /> 13'Z'2- <br /> 4x <br /> 3224x l 1163 x <br /> x toil <br /> tit x -s <br /> 305 vs z <br /> PRINT NAME AFTER SIGNATURE G <br /> RECEIVE DATE/TIMI;1-dg 133MMEZ2� <br /> BY R IV <br /> BY DATE/11ME <br /> RELINQUISHED BY RECEIVED BY DATE/TIME <br /> RECEIVED FOR LABORATORY BY I <br /> UATE I[tv1E <br /> NIETIIOD OF SHIPMENT <br /> D��5 <br /> D15POSITION <br /> ❑ STORAGE ❑ REFRIGERATOR ❑ FREEZER <br /> I URN AROUND TIME SECURED <br /> ❑ 24 HOURS ❑ 3 DAYS ❑ I WEEK w WEEKS ❑ ❑ <br /> YES NO <br /> NO[E PLI'AS1 HAVE FACH DATA SKEET 51(aNED BY CHEMIST <br />