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Geofogicaf Technics Inc, ' <br /> 27412 w Read rj y <br /> Modesta,California 95351 } <br /> (209)538-6424/Fax#538-5852 <br /> n; <br /> Chent�roje�ct Name <br /> EiJY •-e�f. wG Laboratory <br /> Name&Address <br /> Site Address �x <br /> Sampled by: (signature) .:Z-- i Z a%8 A- <br /> f�° <br /> Date Sample I.D. Z ? �A• '' Remarks: <br /> io-14-cc Aft+-- -g 4'?_ 1 i •�` <br /> 10-IS <br /> Relinquished y: (signature) Date/Time Received by: (signature) PLEASE-RETURNSAMpL,E-CAINERS Remarks: <br /> R�eirnquishedd by: (signature) D/a� te/Time 4eceived by: (signature) CC: <br /> relinquished by: (si�nature) Date/Time Received by: (signature) <br />