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[r <br /> Condom Earth Technologies, Inc. S <br /> CHAIN—OF-CUSTODY ❑ 21663 Brian Lane Condoi Earth Technologic%. hic € <br /> PO Box 3905 1 Sonora, California 95370 I 1739 ikshl_iy Road Suite B <br /> N° 6662 209-532-0361 Merced, CA, 95348 <br /> 209-532-0773 (fax) Phone 209-388-9601 <br /> info@condorearth com(e-mail) <br /> No, 209-388-1778 <br /> SHIPPED TO: SEND RESULTS TO -- - - - - --� -- - °I <br /> A '47011) La � NAME ^ L.,El� MoL5jl 1 <br /> eery ,1 64' OFFICE /u o Cil- 1 <br /> N PLEASE FAX RESULTS PROJECT _ 730 F_ C1i,9-iine-1 S7 <br /> PROJECT NO �g y9F NO 5 J Verification <br /> of y <br /> SAMP EDB con- <br /> (Signatu tarn- Q' <br /> Date Time Sample ID ers � REMARKS MISC <br /> E�i <br /> r flB t <br /> i <br /> WJ L Q L tjj <br /> �� tf <br /> i <br /> it <br /> Rebriquished By Date Time Received Byate Ti #! <br /> (Signature) (Signature) rl <br /> H-01-0; <br /> Relinquished By Date Time Received B' Date Tirde <br /> (Signature) (Signature) ;I <br /> Relinquished By Date Time Received By Date Time <br /> (Signature) (Signature) <br /> Otiginal-Send Yellow-Pile Pink-Log Book <br />