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- Condor arth Technologies, i�ic. <br /> CHAIN-OF-CUSTODY <br /> 1663 Brian Lane � ]125 N Golden State Blvd Ste H Q Agro Environmental � 1100 C Airport Blvd <br /> NQ I C I °? 0 Box 3905 P O Box 3448 5651 N Pershing Ave C 3 P O Box 30035 <br /> N 1. �� Sonora,California 95370 Turlock,California 95381 Stockton California 95207 Pensacola,Florida 32503 <br /> (209)532 0361 (209)668-9234 (209)474-1492 (904)477 0454 <br /> Fax(209)532 0773 Fax(209)668 9248 Fax(209)478 1716 Fax(904)477 0534 <br /> SHIPPED TO: , SEND RESULTS TO „ <br /> s NAME <br /> OFFICE <br /> 6,40) J� BILLING INSTRUCTIONS <br /> ❑ PLEASE FAX RESULTS LABORATORY REPORT NUMBER <br /> PROJECT NO f CO <br /> it i-A NO <br /> SAMPLED BY con-of <br /> oon- {QQcy4tiwte- <br /> (Signature) tarn- Y' '�- � ��w+ 4� <br /> Date Tune Sample CU ers �� �4 ��4' `Sw REMARKS MISC <br /> L D <br /> e 5 <br /> 1/ e S <br /> I <br /> r <br /> Relinquished By Da Time Received By e Time <br /> (Signature) ,�`�- L /' 3e-' (Signature) c`- 9 ' 1 �L��� f S Q- 7� 1 <br /> Relinquished By _ _ ate Time ReLelVLd By 17atc rime <br /> (Signature) - __ _ -- -(Signat VE) <br /> Relinquished By --" Date Time ReCClYLd By Date 7 rine <br /> (Signature) (Signature.) <br /> Oriviiml-SClld i f ! t YCIlcti\v-FII Pink-] +7t' A(14 1Rq? <br />