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Co, <br /> Co�nd rti y c a ln.ct <br /> CHAIN-Or:F�CU�TCDY <br /> ❑ 21663 Brian Lane ❑ 1125 North Golden State Boulevard ❑ 188 Frank West Circle, Suite I <br /> ' P.O. Box 3905 Suite G- ' Stockton;CA 95206 <br /> (' .;. 4:0.4 0.. Sonora,California 95370 Turlock, CA 95381.' 209-234-0518 <br /> 209-532-0361 209=668=9256 209-234-0538 (fax) <br /> 209-532-0773.(fax) 209=668-9257 (fax) condor@condorstockton.com(e-ma <br /> SHIPPED TO: �t� art ,, �.5 SEND RESULTS TO.: .�:�"' �` ` 7'T <br /> NAME: <br /> -r, OFFICE: <br /> ❑ PLEASE FAX RESULTS: PROJECT: ` ``' J(`tl G �W <br /> PROJECT NO. J Verification — <br /> K. _.* . N 0. ��5. <br /> 4 <br /> SAMPLED BY: of �Qv <br /> -- con- <br /> (Signature) _ _ tain- 4' <br /> ers REMARKS: 1SC. <br /> Date Time Sample ID a � <br /> 11077- 1 <br /> 7 -5 <br /> Relinquished By: ��_` D,a,ti :, Time: Received By: Date: Time: <br /> -``~ , ,Q <br /> �; C. t I o� (Signature) C7/ Lw`. d Q <br /> (Signature) <br /> Relinquished By: fes. Date' / Time: Received By: D• Time: <br /> (Sig.nature} �} _. . (Signature) <br /> Relinquished By: i Date: Time: Received By: Date: Time: <br /> (Signature) _ (Signature) - <br /> �..:..:...., c,...., N, <br />