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Coad( _� Earth T <br /> � � Technologies, Inc, <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane OK 188 Frank West Circle, Suite I <br /> NO 4 9 n_ A 2 PO Box 3905 1 Sonora, California 95370 Stockton, CA 95206 E � <br /> 77 i <br /> 209-532-0361 209-234-0518 <br /> 209-532-0773 (fax) 209-234-0538 (fax) <br /> info@condorearth conn(e-mail) condor@condorstockton corn(e-mail) i <br /> SHIPPED TO: SEND RESULTS TO <br /> Af&o* LAe4 NAME Dorf <br /> Gv�S� OFFICE 5jpC*Ir-arj <br /> [�r,PLEASE FAX RESULTS 5q7 PROJECT 5-r <br /> n <br /> PROJECT NO J Verification <br /> �84�� NO �S <br /> SAMPLED BY of ��, i►r <br /> (Signature) a0^ �`"Sy`� con- e� <br /> Date Time Sample ID ers a REMARKS MISC <br /> a (dos Cz 29 �-i w- ti 1ARP INCLe- <br /> t3' <br /> w ;4• ;4 5 �c x <br /> F <br /> f <br /> " <br /> %kQ E FOX ALL- d <br /> SP.,4 <br /> To 6 O"n-I -) <br /> Relinquished By Date Time Received By Date Time it <br /> (Signa(ure) Pahw(>5 14",zs (Signature) U, <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) (Signature) <br /> s <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) (Signature) �IE <br /> Original-Send Yellow-File Pink-Log Book k �� <br />