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Geological Technics Inc. <br /> 2741 RivffXpa <br /> Modesto,Cafifmsia 95351 <br /> [209)538-6424,)-4X#538-5852 <br /> Project# Client/Project Name <br /> ( <br /> 32(9- 2 —Del -T«"\ `j r �, Laboratory Name&Address <br /> t 4tctai � <br /> s �~ 1 ` <br /> Site Address <br /> c7 vl Yt¢ ' C cJ 4 <br /> Sampled by: (signature)' ., <br /> Date Sample I.D. Z Remarks: <br /> co <br /> Li <br /> Mq:Meby: (signature) Date/Time Received by: (signature) PLRemarks: <br /> R quished by: (signature) Date/Time Received by: (si nature) CC. <br /> i G <br /> ehnquished by: (s ature) Date/Time Received by: (signature) <br />