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WIN sm <br /> Cant - Earth Technologies, Inca <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane ❑ 1125 North Golden State Boulevatd <br /> ❑ 188 Frank West Circle, Suite I <br /> P.O. Box 3905 Suite G Stockton, CA 95206 <br /> 3 5tj 1 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: SEND RESULTS TO: <br /> NAME: IV Wjlle <br /> 71 4 / OFFICE: t&8 Fr4cA w-f4 <br /> ❑ PLEASE FAX RESULTS: PROJECT: 61� V"011 0A /1h e <br /> PROJECT NO. J Verification — <br /> NO. <br /> SAMPLED BY: -" of y <br /> ,��' �' con- <br /> (Signature) i �°' tain- <br /> Date '/'lime '� Sample ID ers REMARKS-. _tvtr <br /> 'J/ (} 2_491 <br /> r51— <br /> elZOI <br /> I_: 3 �'V, -J' – c 2 - (1. <br /> Relinquished By: r� .---'�'��^ Date: Time: Received By: Date/ Time: <br /> (Signature) _ %� max., Il fGt A. (Signature) <br /> Relinquished By:, � = Date: f Time: Received By.—'i Dat Ci en(Signature)—.•` t (Signature). F. �. t.. <br /> —� t t-J— <br /> Relinquish d y lbat i e: Received By, �A afeTime: <br /> _(Signature) k <br /> ---- �'`. � � - �' <br />