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Conti earth Tecliriol�ogxes, Inc. <br /> CHAIN-OF-CUSTODY ❑ 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 /> 12. Sonora, California 95370 Turlock, CA 95381 209-234-0518 <br /> 209-532-0361 209-668-9256 209-234-0539 (fax) <br /> 209-532-0773(fax) 209-668-9257 (fax) condor@ condorstockton.com(e-ma <br /> SHIPPED TO: z SEND RESULTS TO: <br /> � e We <br /> f f <br /> i/t to /-CU 110 6!"!?, NAME: �'ll <br /> l � �k <br /> OFFICE: j F 6 h k wes t c, J-e /P <br /> PLEASE FAX RESULTS: PROJECT: �' e t.�dh „1, {p / h e <br /> PROJECT NO. C, � ✓ Verification <br /> NO. <br /> SAMPLED BY: con- <br /> tain- <br /> Date <br /> on v <br /> P ro <br /> (Signature) tain- <br /> Date �°jI'ilne S4 ple ID ers REMARKS : MISC. <br /> /,!v€ V`1 -3t- 11,E z%v i3 <br /> �t c <br /> �f1 <br /> 51- <br /> Relinquished By` �: Dat :l Time: Received By: Date Time: <br /> (Signature) '' p( 5- (Signature) (� �dIJ S` <br /> Relinquished Srf' Date Time: Received By: Date: _ Time: <br /> (Signature) L_----� �f j (Signature) <br /> Relinquished By: /f w '� Date: Time: Received By: Date: Tithe: <br /> (Sna�ure)_ (Signature) <br />