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Geological technics Inc. <br /> 2741 a cr ,oad <br /> Modesto,Caf:f.W 95351 <br /> (209)538 64241$f #538 5852 <br /> Protect# Client/Project Name <br /> ' <br /> _ � � f C-g5Ile �y Laboratory Name& Address <br /> Site#dcp,s �'� C // <br /> Ll <br /> Sampled by (signature). ' -• o 1 C1 C � <br /> Date Sample I D Z Remarks <br /> 6 7- <br /> 21-qq 5ef <br /> 21-Ors < !i/_ �--� ► t� <br /> I <br /> Rehn,,uis by (signature) Date/TimetReceived <br /> +�(signs ) PLEASE RETURN SAMPLE CONTAINERS Remarks <br /> Relingw hed by (signature) D to/Tune (si niture) CC <br /> 4ehnquished by fsignature) Date/Time (signature) <br /> � (Y1tee'—DI Pt. , r e. <br />