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Geological Technics Inc. �� � {` � ���~�� �`:�� r� ���' - <br /> 2741 RWerXpad <br /> Modesto,Ca&fornia 95351 <br /> (209)538 6424/ #538 5852 ) s-5, w . <br /> Project# Client/Project Name H �. ,4 Laboratory Name&Address <br /> #i �rA�f-'—��3a. ,f��c.fg L., 4 <br /> Site Address <br /> Sampled by (signature) <br /> O r�€ <br /> Date -- Sample I D "� Z "� Remarks <br /> k 3 <br /> 3 ,y <br /> l }hut 4 ac µ U t` t <br /> T k x <br /> I <br /> I <br /> Relinquished by (signature) Date/Time Received by (signature) PLEASE RETURN SAMPLE CONTAINERS Remarks <br /> t r <br /> Relinquished by (signature) Date/Time Received by (signature) CC <br /> ge <br /> ielinquished by (signature) date/Time Received by (signature) <br /> F <br />