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Cond )Earth TechnolQ,---- <br /> CHAIN-OF-CUSTODY ❑ 21663 Brian Lane 1.88 Fra3 403069 <br /> P.O. Box 3905/Sonora,California 95370 Stocktol r <br /> N° 5783 209-532-0361 209-234-u518 <br /> 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: Y/ rro <br /> �XC�LcN�.Vf /� �/gum fF-r� <br /> NAME: —1 xu S _ <br /> - Ros��� r..,= eA OFFICE: !kms <br /> '5' <br /> PLEASE FAX RESULTS: PROJECT: <br /> PROJECT NO. �S <br /> 3a,2y of v�StiS' p �u �V �9 ✓ Verification <br /> SAMPLED BY <br /> _Z <br /> (Signature) 0,yle. / con- 6 fib <br /> tain- <br /> Date Time Sam a ID ers �Q� �� $'u/`'u4 REMARKS: MISC. <br /> '/-/Z-03 y: 3 GOX <br /> CPT -- yZ'- 6/d3 PC P K <br /> 5�-- <br /> y-/L <br /> q.-cPrs_dre '1114 163 X_ <br /> woyrl33oS1 <br /> xY_- X, K 7WAA[)O Last 430 <br /> 11- 34 30 Y-GP/o- #4� /03 9- K ,e - �vTAIVaG WL1Slv <br /> 1'-/4-d 3 / =As Wq-GP10- YN'6- /G lbi X D Pg wukv3t I <br /> Y/t-03 I3-W 30.24-ePrl- /a3 `f lc K ➢C �T13 31z <br /> y- 6 <br /> -40 3 /3=ya 30.7 -car -f 9 #114/0 3 S X- x y'_ c.w�t 31 J <br /> y/L-4 3 /y:as" 30.211- cpr - -'-11/16 1,03 .1 x Y- X 5,P13 w m <br /> - DCA <br /> Relinquished By: / Dat Time: Received By: Date: Time: <br /> (Signature) /� 03 /?:ymac <br /> l - (Signature) <br /> Relinquished B Date: Time: Received By: Date: Time: <br /> (Si nature) (Signature) <br /> T . <br /> e mqurs a By; Date: Tiine: --Received' Sy: a -t 12"4 1p <br /> Ti <br /> (Signature) (Signature) SIV n�) �eh�� <br /> Original-Send Yellow-File Pink-Log Book <br />