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a i <br /> - Condor EarthTechnologies , Inc . <br /> CHAIN' OF- C vTTSTOD y ❑ 21663 Brian Lane ❑ 188 Frank West Circle, Suite I <br /> N ° 5 0 4 7 P.O . Box 3905 / Sonora, California 95370 Stockton, CA 95206 <br /> 209-532-0361 209-234-0518 <br /> 209-532-0773 (fax) 209-234-0538 (fax) <br /> info@condorearth.conr (e-mail) condor CD condorstockton.com (e-mail) <br /> SHIPPED TO : II SEND RESULTS TO : r <br /> � rC rkr\ � Gi /� CtsfCtt`� S NAME : � E ff 11 <br /> OFFICE • ry6 Z rY t Irv . ..4L✓ �. r(Ir . S3- <br /> V\1L C4 <br /> L � <br /> } SZ� <br /> PLEASE FAX RESULTS : a(GIPROJECT : <br /> PROJECT NO . ' 7 k <br /> / N0 . ��'ti5 ✓ Verification <br /> SAMPLED BY of <br /> (Signature) co� con- <br /> tain- P <br /> Date Time Sample ID ers �a REMARKS : MISC . <br /> ti cis 7 � C �7C` nn r�t.•< r / , a <br /> z- z <br /> hr TO <br /> I) S4� a (itc IH.- � e`I�.e,r`r (. �iti �•') <br /> T P C . <br /> T.B - <br /> T�m � <br /> Relinquished B f /� Date • Time: Received By Da Time : <br /> ( Signature) ` /L (Signature) t� S/(' S Gl. <br /> Relinquished By : Date : Time : Received By : - Date : Time: <br /> i <br /> (Signature) (Signature) <br /> Relinquished By : Date : Time : Received BY <br /> M <br /> (Signature) (Signature) Date : Time : <br /> Original -Send <br /> Yellow-File <br /> Pink-T .nv Rnnk <br />