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J <br /> Geoogical TeC![1[1CS vfr�rccn�aiCvnrutrMgSpaialtru <br /> 2601%i <br /> 'aGrluta CA 95354 <br /> r2�w/s3aasos <br /> REMARKS <br /> Project# project Name <br /> 01—I � <br /> /w�S No ' <br /> Samplers:(signature) of <br /> Con- <br /> Date Sample 1_D. tainers <br /> tip`" ST, `1�cy <br /> 0 <br /> d, <br /> -2.l C)'j <br /> _i <br /> ------------ <br /> i <br /> i <br /> Rel_ wished by:(si nature) gate/'I'ime i y:{ ig azure) Remarks�D�,U(�[.�fKlvlll�^�� ��I:j <br /> lIlk 1:5D PLEASE RFTURN SAMPLt TUBES <br /> 7� Date�me ived by.(signature) <br /> Reliquis y:(I gnature) I `X <br /> BILLING:�•� 1 <br /> ruturJ Date me Recieved For Laboratory by <br /> ReliquW%ed by=(stg (signature) <br /> Geological Technics,26(}1 River Road,Modesto,CA 95351 (209)538-7805 <br /> ISHII <br /> I <br />