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ENGINEERING, INC, I.0 # <br /> RCE#27011 LIC.#'537901 CITRUS <br /> OLD AUBURN ROAD <br /> ,�,-, ` CITRUS HEIGHTS, CA 95610 <br /> •- ` �,�, 2caw 0 �U" '���5 (916) 723-7645 JOB_ <br /> +�- LIG.# 537901 <br /> CHAIN OF CUSTODY P.O.# <br /> JOB NAME: LA13: �1=z �+ <br /> PROJECT' MANACER: NJ=—r —t- �-?�ti+i�'1`T— SAMPLES COLLECTED BYCj�Os <br /> SAMPLE TYPE <br /> SAMPLE TYPE ANALYSIS <br /> SAMPLE LOCATION DATE TIME NO. CONTAINER(S) REQUIRED <br /> 0 <br /> SOIL AIR WATER <br /> c� u <br /> •� c <br /> -73 Lt k MV4,-2 <br /> N/ NLa�,3p <br /> -7 <br /> �c -7 gip <br /> PRINT NAME AFTER SIGNATURE <br /> RVLOQUILAED BY: RECEIVED BY: DATE/'TIMI: <br /> !ZE R�Ey' <br /> RECEIVED BY: DATE/'C1Iuk1 <br /> RELINQUISHED BY: RECEIVED BY: DATE/TIME <br /> RECEIVED FOR LABORATORY BY: DATE/TIME <br /> z to c� <br /> METHOD OF SHIPMENT: <br /> IOSITION: <br /> STORAGE ❑ REFRIGERATOR ❑ FREEZER <br /> TdRN AROUND TIME' � /�. SECURED <br /> ?4 HOURS ❑ 3 DAYS ❑ 1 WEEK 4 WEEKS l�` 1 ❑ ❑ <br /> YES NO <br /> NOTE: PLEASE, HAVE FACII DATA SiEEET SIGNED.By C If;MIST. �^ Z <br />