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-- -------- <br /> Geofogicaf Technics Inc. <br /> 2741%mrXpad <br /> Modesto,Cafifomia 95351 <br /> (209)538-64241Yx#538-5952 <br /> Project# Clio!nt/Pr ect Name IV e,7 C Laboratory Name & Address <br /> C <br /> Site Address '? / k, z IV <br /> Sampled by: (signature)— U'i5 C, <br /> - <br /> 6 <br /> Date Sample I.D. z Remarks: <br /> C <br /> lo -&,q? lWh,-- /p2 2 it- z Z X x x <br /> to -16 . 1) ? lif« -102 5` . / x <br /> /� - IL- 97 IA/A, - /oz 2 2' - 2-c -5- 1 1 .,r <br /> la / 7-s7 r76,. 2c.. ,- 2 <br /> h, <br /> Al' A <br /> Al IV 5 I-X <br /> X, <br /> Refinquisheby: (signature) D to/Time Re eived�bb : (signZ� re) PLEASE RETURN SAMPLE CONTAINERS Remarks: <br /> A <br /> lRe inquished by: ( i nature) D to/Time eive by: Winatu. re) CC: <br /> ielinquished by. signature) Date/Time Recived by. (signature) <br /> ----------------------------------- ------ <br />