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UTC& 1--) <br /> ' BILL 10 USA-qll�muul� ba)jA I D 1 1 5 2 7 <br /> 8084 OLD AUBURN ROAD GHH CONSTRUCTION <br /> /� CrrRUS FF-IGHTS, CA 95610 ❑mo SERVICES INC <br /> (916) 729-1776 LIC #608406 ,IO_ B y_ <br /> •"" •^�•"&•mtk LIC #6053G0 8084 OLD AUBURN ROAD CITRUS HEIGH= CA 95810 <br /> CHAIN OF CUSTODY IPO # <br /> JOB NAME - IAB -- <br /> PROJECT MANAGER r� SAMPLES COLLECTED BY CffilZL5 Lj0(, o=-k <br /> SAMPLE TYPE <br /> SAMPLE TYPE ANALYSIS <br /> SAMPLE LOCATION DATE TIME NO CONTAINER{S} REQUIRFD <br /> v SOIL AIR WATER <br /> ts-x <br /> XNat x W-2 <br /> t k -3 <br /> i' <br /> AFTER SIGNATURE <br /> RECEIVED BY DATE/'CIMI; <br /> , CS <br /> E QUISHED Y RECEIVED BY <br /> DATE/'IIME -- <br /> RELINQUISHED BY RECEIVED BY <br /> DATE/TIME <br /> RECFIVED FOR LABORATORY BY DATE/CINIE <br /> %ETIIOD OF SHIPMENT <br /> ISPOSITION <br /> STORAGE ❑ REFRIGERATOR ❑ FREEZER <br /> T AROUND TIME SE BRED <br /> '❑ 24 HOURS ❑ 3 DAYS ❑ I WEEK WEEKS 1:1*YsNO <br /> IJOII, PLI'ASI�' NAVE FACH DATA SIIEET SIGNED 13Y Cr <br /> T <br />