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• Condc* Earth Technologies, Inc. _ <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane 188 Frank West Circle, Suite I <br /> P.O. Box 3905 /Sonora, California 95370 Stockton, CA 95206 <br /> Gti (a 209-532-0361 209-234-0518 <br /> 3 � v 4 209-532-0773 (fax) 209--234-0538 (fax) <br /> info@condorearth.com(e-mail) condor@condorstockton.com(e-mail) <br /> SHIPPED TO: SEND RESULTS TO: <br /> LiNAME: Dom -- <br /> t A< s. LA OFFICE: C�?l VC.14-CON, ;A <br /> .PLEASE FAX RESULTS: ROJECT: C �-t ri-�r r�,��_ �!rutza Aic3c <br /> PROJECT NO. 4��c�• V Verification <br /> �jiqI NO. <br /> of <br /> a� <br /> SAMPLED BY: con- <br /> (Signature) °�;��i°" tain- <br /> Date Time Sample ID ers �,�"�` REMARKS : MISC. <br /> Oy1'?.1ILA. I41'.1-1 MW' I Vrjn k {3vl I AD P 1 <br /> kx. is i5 Aettr►'Cj - ?{ x Y <br /> 4 i 1 1 <br /> Relinquished By: t Date: Time: Received By`. �'; ! ,- Date: r Time- <br /> (Signature) <br /> ime-(Si nature) t 1�,.... 3/2yC1b . 1c7 (Signature)! ' '' I', 1.;: � f`•� )` ,1 ` 0 <br /> Relinquished By: Date: Time: Received--4:1/ ~Date: Time: <br /> (Signature) (Signature) <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> (Signature) (Signature) <br /> Original-Send Yellow-File Pink-Log Book <br />